Organization
DECATUR WEIGHTLOSS & PAIN CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARESH MEHTA (OWNER)
(404) 254-2048
Entity
Organization
Contact information
Practice address
1685 CHURCH ST, SUITE 207, DECATUR, GA 30033-5901
(404) 254-2048
Mailing address
1685 CHURCH ST, SUITE 207, DECATUR, GA 30033-5901
(404) 254-2048
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
11/07/2014
Last updated
11/07/2014
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