Organization
FAITH FIRST FITNESS INC
Active
Other names
Faith First Fitness Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DATAVIOUS D LUCAS (CEO)
(678) 914-7132
Entity
Organization
Contact information
Practice address
5000 SNAPFINGER WOODS DR, DECATUR, GA 30035-4085
(678) 914-7132
Mailing address
4238 RIDGETOP DR, ELLENWOOD, GA 30294-1908
Taxonomy
Speciality
Code
Description
License number
State
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
Primary
—
—
Other
Enumeration date
02/08/2021
Last updated
02/08/2021
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