Organization
BELTLINE BARIATRIC AND SURGICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANA KAPOU WONG (COO)
(770) 686-1366
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
371 E PACES FERRY RD NE STE 750, ATLANTA, GA 30305-2372
(470) 419-4380
(470) 298-7736
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
—
—
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
05/09/2016
Last updated
11/01/2023
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