Organization
LIFESTYLE CARE, LLC
Active
Organization
LIFESTYLE CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENIECE NICOLE JOHNSON MD, DABOM (OWNER)
(404) 429-2226
Entity
Organization
Contact information
Practice address
977 AZALEE HESTER WHARTON WAY NW, ATLANTA, GA 30318-4559
(404) 429-2226
Mailing address
977 AZALEE HESTER WHARTON WAY NW, ATLANTA, GA 30318-4559
(404) 429-2226
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RB0002X
Obesity Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
03/05/2024
Last updated
03/05/2024
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