Organization
FIRST DOCTORS WEIGHT LOSS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. T. WAYNE BLOODWORTH M.D. (PRESIDENT)
(678) 567-5917
Entity
Organization
Contact information
Practice address
6794 BILL CARRUTH PKWY, HIRAM, GA 30141-3770
(678) 567-5918
Mailing address
6794 BILL CARRUTH PKWY, HIRAM, GA 30141-3770
(678) 567-5918
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
114757
GA
Other
Enumeration date
02/22/2016
Last updated
02/22/2016
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