Provider Demographics
NPI:1093170359
Name:ABSOLUTE MEDICAL
Entity Type:Organization
Organization Name:ABSOLUTE MEDICAL
Other - Org Name:ABSOLUTE MEDICAL WEIGHT LOSS
Other - Org Type:Other Name
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHERRA
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMMOND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-402-8871
Mailing Address - Street 1:1755 THE EXCHANGE SE STE 330T
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339-7403
Mailing Address - Country:US
Mailing Address - Phone:678-402-8871
Mailing Address - Fax:770-234-5118
Practice Address - Street 1:1755 THE EXCHANGE SE STE 330T
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30339-7403
Practice Address - Country:US
Practice Address - Phone:678-402-8871
Practice Address - Fax:770-234-5118
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ABSOLUTE MEDICAL STAFFING LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-12-30
Last Update Date:2016-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171W00000X
GA251E00000X, 251F00000X, 251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251J00000XAgenciesNursing Care
No171W00000XOther Service ProvidersContractorGroup - Single Specialty
No251E00000XAgenciesHome Health
No251F00000XAgenciesHome InfusionGroup - Single Specialty