MEDICARE: NO SWEAT USA, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208D00000X	General Practice Physician

General Provider Information

NPI Number	:	1417738535
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NO SWEAT USA, LLC

Provider Business Mailing Address
First Line	:	6380 BELLS FERRY RD STE 107
Second Line	:
City	:	ACWORTH
State	:	GA
Zip	:	30102-5435
Country	:	US
Telephone Number	:	404-989-7384
Fax Number	:	855-604-0965

Provider Business Practice Location Address
First Line	:	6380 BELLS FERRY RD STE 107
Second Line	:
City	:	ACWORTH
State	:	GA
Zip	:	30102-5435
Country	:	US
Telephone Number	:	404-989-7384
Fax Number	:	855-604-0965

Authorized Official
Title or Position	:	CFO
Name	:	DOUG HERMAN
Credential	:
Telephone Number	:	404-573-8993

Provider Enumeration Date	:	10/13/2023
Last Update Date	:	10/13/2023

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Directions to “NO SWEAT USA, LLC ” Practice Location

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