# QRC 360 ENTERPRISES

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Medi-Weightloss
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912407719
- **Authorized official:** MR. ARTHUR TSIROPOULOS (PRESIDENT & CEO)
- **Authorized official phone:** (404) 293-0173

## Contact information

- **Practice address:** 12195 HIGHWAY 92 STE 144, WOODSTOCK, GA 30188-3603
- **Practice address phone:** (678) 540-7827
- **Mailing address:** 720 QUAIL RUN CT, JOHNS CREEK, GA 30005-8920
- **Mailing address phone:** (404) 293-0173
- **Mailing address fax:** (888) 657-0467

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 30053 | GA | Yes |
| 363LF0000X | Family Nurse Practitioner | 218918RN | GA | — |

## Other

- **Enumeration date:** 02/19/2018
- **Last updated:** 02/19/2018