MLT WEIGHT LOSS LLC NPI 1215318605

NPI Information

  • NPI: 1215318605
  • Provider Name: MLT WEIGHT LOSS LLC
  • Classification: Internal Medicine - 207RE0101X
  • Specialization: Endocrinology, Diabetes & Metabolism
  • Entity Type: Organization
  • Other Name: MARY THOMPSON SOLE MBR
  • Address: 3830 WASHINGTON RD
    SUITE 17
    MARTINEZ, GA
    ZIP 30907
  • Phone: (706) 922-0440

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NPI Details

MLT WEIGHT LOSS LLC is an endocrinology and diabetes and metabolism internal medicine in Martinez, GA. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. MLT WEIGHT LOSS LLC NPI is 1215318605. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Mary Thompson Sole Mbr.

The provider's business location address is:

3830 WASHINGTON RD
SUITE 17
MARTINEZ, GA
ZIP 30907-064
Phone: (706) 922-0440
Fax: (706) 922-0441

The provider's authorized official is Mary L Thompson .
The authorized official title is Owner and has the following contact phone number (706) 922-0440.

The enumeration date for this NPI number is 6/11/2015 and was last updated on 6/11/2015.

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
1207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismYes

What is NPI?

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This page was last updated on: 3/30/2025

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