Organization
OCONEE WEIGHT AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
J. MOORE (COO)
(478) 456-7628
Entity
Organization
Contact information
Practice address
455 EPPS BRIDGE PKWY STE 102, ATHENS, GA 30606-3347
(706) 850-2220
(706) 850-2223
Mailing address
455 EPPS BRIDGE PKWY STE 102, ATHENS, GA 30606-3347
(706) 850-2220
(706) 850-2223
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
032498
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000414675AI
—
GA
Enumeration date
12/27/2013
Last updated
12/27/2013
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