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General NPI Number Information
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NPI Number | 1487369187
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Entity Type | Organization
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Legal Business Name | WEIGHT A MINUTE CLINIC LLC
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Dates
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Enumeration Date | 01/17/2023
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Last Update Date | 06/13/2023
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Provider Practice Location Address
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Address Line | 1100 PEACHTREE ST NE STE 250
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City | ATLANTA
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State | GA
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Zip | 30309-4522
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Country | US
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Telephone | 470-952-5008
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Fax | 404-506-9182
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Provider Business Mailing Address
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Address Line | 1100 PEACHTREE ST NE STE 250
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City | ATLANTA
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State | GA
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Zip | 30309-4522
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Country | US
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Telephone | 470-952-5008
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Fax | 404-506-9182
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. COURTNEY WHITTLE
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Credential | MD MSW DIPL ABOM
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Telephone | 470-952-5008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2083B0002X
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Taxonomy Name | Obesity Medicine (Preventive Medicine) Physician
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License Number |
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License Number State |
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