Provider Demographics
NPI:1588317358
Name:GOLDEN HANDS WEIGHT LOSS AND WELLNESS CLINIC
Entity type:Organization
Organization Name:GOLDEN HANDS WEIGHT LOSS AND WELLNESS CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NP
Authorized Official - Prefix:DR
Authorized Official - First Name:JOICE
Authorized Official - Middle Name:ATEM
Authorized Official - Last Name:ANU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-693-9435
Mailing Address - Street 1:4075 CHARLES HARDY PKWY STE 122
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:GA
Mailing Address - Zip Code:30157-3317
Mailing Address - Country:US
Mailing Address - Phone:770-693-9435
Mailing Address - Fax:
Practice Address - Street 1:4075 CHARLES HARDY PKWY STE 122
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:GA
Practice Address - Zip Code:30157-3317
Practice Address - Country:US
Practice Address - Phone:770-693-9435
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-01
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA1598224081OtherNPI