# DECATUR WEIGHTLOSS & PAIN CENTER LLC

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

## Provider details

- **NPI number:** 1750787438
- **Authorized official:** HARESH MEHTA (OWNER)
- **Authorized official phone:** (404) 254-2048

## Contact information

- **Practice address:** 1685 CHURCH ST, SUITE 207, DECATUR, GA 30033-5901
- **Practice address phone:** (404) 254-2048
- **Mailing address:** 1685 CHURCH ST, SUITE 207, DECATUR, GA 30033-5901
- **Mailing address phone:** (404) 254-2048

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/07/2014
- **Last updated:** 11/07/2014