Organization
VALENTINE WEIGHT LOSS & WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDRE KWAME BROOKS (PROGRAM DIRECTOR)
(777) 833-7739
Entity
Organization
Contact information
Practice address
874 LANIER AVE W, SUITE 210, FAYETTEVILLE, GA 30214-7662
(770) 833-7739
(770) 629-1224
Mailing address
874 LANIER AVE W, SUITE 210, FAYETTEVILLE, GA 30214-7662
(770) 833-7739
(770) 629-1224
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
040580
GA
Other
Enumeration date
07/14/2014
Last updated
07/14/2014
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