R&k Medcal Weight Loss Clinic

NPI 1184980336 - Clinic/Center - 261QM2500X

NPI Details
NPI 1184980336
Enumeration Date 04/02/2012
Last Updated 04/02/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name EZEKIEL WALTER EZEKIEL
Position MEDICAL DIRECTOR
Phone (770) 964-0611
Fax (770) 964-0608
Practice Location
105 SAINT STEPHENS CT
SUITE F
TYRONE GA, 30290-1716, US
Phone (770) 964-0611
Fax (770) 964-0608
Business Location
105 SAINT STEPHENS CT
SUITE F
TYRONE GA, 30290-1716, US
Phone (770) 964-0611
Fax (770) 964-0608
Toxanomy
Taxonomy Code 261QM2500X
License State Georgia
License Number 8797
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According to our database, R&k Medcal Weight Loss Clinic NPI is 1184980336, taxonomy code is 261QM2500X and license number is 8797, license state is located at Georgia. R&k Medcal Weight Loss Clinic physically located at 105 Saint Stephens Ct, Tyrone GA, 30290-1716. NPI Number 1033115704 has the healthcare provider type.

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1184980336 NPI number is provided on an as is basis without warranty of any kind. 1184980336 is maintained by the National Plan & Provider Enumeration System. The contents of R&k Medcal Weight Loss Clinic are for informational purposes only.