National Provider Identifier Database

SLENDER SPA MED ENTERPRISES LLC
Medical Specialty

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).


Contact Information

SLENDER SPA MED ENTERPRISES, LLC
1475 HOLCOMB BRIDGE RD
SUITE 165
ROSWELL, GA30076-2139
Phone: 678-682-8600
Fax:
Website:
Specialty Taxonomy Code
* Medical Specialty 261QM2500X

* Indicates primary specialty

NPI Profile & details for SLENDER SPA MED ENTERPRISES, LLC

NPI Number 1245580174
Legal business name
LBN
SLENDER SPA MED ENTERPRISES, LLC
Authorized official TANYA GRIZZLE - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 09/18/2012
Last updated 01/15/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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