Organization
CHATTAHOOCHEE INSTITUTE FOR WELLNESS, LONGEVITY & WEIGHT MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BANTWAL SURESH BALIGA (MD)
(706) 718-9556
Entity
Organization
Contact information
Practice address
110 ENTERPRISE CT STE B, COLUMBUS, GA 31904-9231
(706) 507-0001
(706) 507-0016
Mailing address
110 ENTERPRISE CT STE B, COLUMBUS, GA 31904-9231
(706) 887-7790
(706) 507-0016
Taxonomy
Speciality
Code
Description
License number
State
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
Primary
—
—
Other
Enumeration date
08/18/2023
Last updated
09/28/2023
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