# SLENDER SPA MED ENTERPRISES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245580174
- **Authorized official:** MRS. TANYA GRIZZLE (OWNER)
- **Authorized official phone:** (678) 682-8600

## Contact information

- **Practice address:** 1475 HOLCOMB BRIDGE RD, SUITE 165, ROSWELL, GA 30076-2139
- **Practice address phone:** (678) 682-8600
- **Mailing address:** 1475 HOLCOMB BRIDGE RD, SUITE 165, ROSWELL, GA 30076-2139
- **Mailing address phone:** (678) 682-8600
- **Mailing address fax:** (678) 682-8601

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/18/2012
- **Last updated:** 01/15/2013