Organization
BELTLINE WEIGHT LOSS LLC
Active
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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