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Contact Information

FITMED WELLNESS, LLC
9420 WILLEO RD
SUITE 206
ROSWELL, GA30075-6772
 Phone: 770-552-3232
 Fax: 770-552-3230
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for FITMED WELLNESS, LLC

NPI Number 1548551344
LBN Legal business name FITMED WELLNESS, LLC
Authorized official BRETT GREENBERG - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 04/27/2011
Last updated 05/02/2011 - About 15 years ago
Identifiers
GA License # 031205
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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