Provider Demographics
NPI:1033689351
Name:H&H WEIGHT LOSS LLC
Entity Type:Organization
Organization Name:H&H WEIGHT LOSS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:E
Authorized Official - Last Name:BLITCH
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:912-681-6334
Mailing Address - Street 1:1098 BERMUDA RUN STE 6
Mailing Address - Street 2:
Mailing Address - City:STATESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30458-0878
Mailing Address - Country:US
Mailing Address - Phone:912-681-6334
Mailing Address - Fax:
Practice Address - Street 1:3600 DALLAS HWY SW STE 210
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30064-1687
Practice Address - Country:US
Practice Address - Phone:770-628-5633
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-29
Last Update Date:2018-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA1235187659OtherJAMES L HILLER