Organization
BELTLINE WEIGHT LOSS LLC
Active
Other names
Beltline Weight Loss and Obesity Medicine LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA KAPOU WONG (COO)
(470) 524-1010
Entity
Organization
Contact information
Practice address
371 E PACES FERRY RD NE STE 750, ATLANTA, GA 30305-2372
(470) 419-4380
(470) 298-7736
Mailing address
2110 POWERS FERRY RD SE STE 302, ATLANTA, GA 30339-5015
(470) 419-4380
(470) 298-7736
Taxonomy
Speciality
Code
Description
License number
State
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
—
—
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
Primary
—
—
Other
Enumeration date
02/27/2019
Last updated
09/19/2022
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