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Contact Information

KIWIMEDSPA MEDICAL WEIGHT LOSS & AESTHETICS LLC
2103 CAIN CIR STE 120
DACULA, GA30019-1658
 Phone: 877-549-4633
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obesity Medicine

2083B0002X 84 Physician/Preventive Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for KIWIMEDSPA MEDICAL WEIGHT LOSS & AESTHETICS LLC

NPI # 1891639464
LBN Legal business name KIWIMEDSPA MEDICAL WEIGHT LOSS & AESTHETICS LLC
Authorized official MARIA ANGEL - (OWNER/PHYSICIAN)
Entity Organization
Organization subpart 1 No
Enumeration date 04/15/2026
Last updated 05/05/2026 - About a month ago
Identifiers n/a
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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