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MILESTONE WELLNESS MEDICAL LLC NPI 1275901449


NPI Information

NPI: 1275901449
Provider Name: MILESTONE WELLNESS MEDICAL LLC
Classification: Dietitian, Registered - 133VN1006X
Entity Type: Organization

Specialization: Nutrition, Metabolic

Address:
8470 HOLCOMB BRIDGE RD
140
ALPHARETTA, GA
ZIP 30022
Phone: (678) 461-9337
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MILESTONE WELLNESS MEDICAL LLC is a nutrition and metabolic dietitian registered in Alpharetta, GA. MILESTONE WELLNESS MEDICAL LLC NPI is 1275901449. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8470 HOLCOMB BRIDGE RD
140
ALPHARETTA, GA
ZIP 30022-854
Phone: (678) 461-9337
Fax: (678) 461-9338

The provider's authorized official is Mojgan Shahmar .
The authorized official title is Owner and has the following contact phone number (404) 862-0372.

The enumeration date for this NPI number is 9/4/2015 and was last updated on 9/4/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1133VN1006XDietitian, RegisteredNutrition, Metabolic032720GEORGIANo
2133VN1006XDietitian, RegisteredNutrition, Metabolic061005GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11144255399OTHERMICRONESIAHEALTHCARE PROVIDER
21447494885OTHERGEORGIAHEALTHCARE PROVIDER

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: 4/28/2024

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