Healthcare Provider Details
I. General information
NPI: 1417738535
Provider Name (Legal Business Name): NO SWEAT USA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/13/2023
Last Update Date: 10/13/2023
Certification Date: 10/13/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6380 BELLS FERRY RD STE 107
ACWORTH GA
30102-5435
US
IV. Provider business mailing address
6380 BELLS FERRY RD STE 107
ACWORTH GA
30102-5435
US
V. Phone/Fax
- Phone: 404-989-7384
- Fax: 855-604-0965
- Phone: 404-989-7384
- Fax: 855-604-0965
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208D00000X |
| Taxonomy | General Practice Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DOUG
HERMAN
Title or Position: CFO
Credential:
Phone: 404-573-8993