Healthcare Provider Details

I. General information

NPI: 1124764337
Provider Name (Legal Business Name): BETTER WEIGHS TO BETTER HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2022
Last Update Date: 10/09/2025
Certification Date: 10/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

721 W MARKET ST STE D
ATHENS AL
35611-2678
US

IV. Provider business mailing address

721 W MARKET ST STE D
ATHENS AL
35611-2678
US

V. Phone/Fax

Practice location:
  • Phone: 256-787-2924
  • Fax: 256-408-9971
Mailing address:
  • Phone: 256-787-2924
  • Fax: 256-408-9971

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MELISSA C GRAY
Title or Position: MD
Credential:
Phone: 256-787-2924