# WELLNESS IV SPA & MEDICAL WEIGHT LOSS CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wellness IV Spa & Medical Weight Loss Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467196477
- **Authorized official:** SHUMEKA HILL FNP (OWNER, CEO)
- **Authorized official phone:** (773) 954-4476

## Contact information

- **Practice address:** 629 HOLCOMB BRIDGE RD STE 120, ROSWELL, GA 30076-1511
- **Practice address phone:** (773) 954-4476
- **Practice address fax:** (470) 239-1128
- **Mailing address:** 9207 PARKVIEW LN, ALPHARETTA, GA 30005-5409
- **Mailing address phone:** (773) 954-4476
- **Mailing address fax:** (470) 239-1128

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 04/25/2022
- **Last updated:** 04/25/2022