Organization
KIWIMEDSPA MEDICAL WEIGHT LOSS & AESTHETICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA ANGEL MD (OWNER/PHYSICIAN)
(678) 936-6167
Entity
Organization
Contact information
Practice address
2103 CAIN CIR STE 120, DACULA, GA 30019-1658
(877) 549-4633
Mailing address
3640 MUNDY MILL RD STE 112 PMB 129, GAINESVILLE, GA 30504
(678) 936-6167
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
Primary
—
—
Other
Enumeration date
04/15/2026
Last updated
05/05/2026
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