FIRST DOCTORS WEIGHT LOSS NPI 1104285980

NPI Information

  • NPI: 1104285980
  • Provider Name: FIRST DOCTORS WEIGHT LOSS
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 6794 BILL CARRUTH PKWY
    HIRAM, GA
    ZIP 30141
  • Phone: (678) 567-5918

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NPI Details

FIRST DOCTORS WEIGHT LOSS is a primary care clinic center in Hiram, GA. FIRST DOCTORS WEIGHT LOSS NPI is 1104285980. The provider is registered as an organization entity type.

The provider's business location address is:

6794 BILL CARRUTH PKWY
HIRAM, GA
ZIP 30141-770
Phone: (678) 567-5918

The provider's authorized official is T. Wayne Bloodworth .
The authorized official title is President and has the following contact phone number (678) 567-5917.

The enumeration date for this NPI number is 2/22/2016 and was last updated on 2/22/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary Care114757GEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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