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NPI Code Detail

MEDICARE: WELLNESS & BEYOND MEDISPA

MEDICARE: WELLNESS & BEYOND MEDISPA
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
1133VN1201XObesity and Weight Management Nutrition Registered Dietitian
2207WX0200XOphthalmic Plastic and Reconstructive Surgery Physician
3208200000XPlastic Surgery Physician
4261Q00000XClinic/Center
5261QM1300XMulti-Specialty Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
104-34103OTHERKSMEDICAL DOCTOR
21396763421OTHERKSNPI
31508857038OTHERGAMEDICAL DOCTOR

General Provider Information

NPI Number : 1548036908
Entity Type Code : Organization
Provider Name (Legal Business Name) : WELLNESS & BEYOND MEDISPA
Provider Business Mailing Address
First Line : 1648 WHITTLESEY RD
Second Line :
City : COLUMBUS
State : GA
Zip : 31904-3658
Country : US
Telephone Number : 706-221-1353
Fax Number : 706-221-1354
Provider Business Practice Location Address
First Line : 1648 WHITTLESEY RD STE 400
Second Line :
City : COLUMBUS
State : GA
Zip : 31904-3657
Country : US
Telephone Number : 706-221-1353
Fax Number : 706-221-1354
Authorized Official
Title or Position : PHYSICIAN
Name : DANIEL MARGOLIN
Credential : MD
Telephone Number : 706-221-1353
Provider Enumeration Date : 11/28/2023
Last Update Date : 04/21/2025

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Directions to “WELLNESS & BEYOND MEDISPA ” Practice Location

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