Provider Demographics
NPI:1174846232
Name:REAL RESULTS WEIGHT LOSS SOLUTIONS, LLC
Entity Type:Organization
Organization Name:REAL RESULTS WEIGHT LOSS SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TITUS
Authorized Official - Middle Name:D
Authorized Official - Last Name:DUNCAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:404-233-3833
Mailing Address - Street 1:6160 PEACHTREE DUNWOODY RD NE
Mailing Address - Street 2:SUITE A-100
Mailing Address - City:SANDY SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30328-4578
Mailing Address - Country:US
Mailing Address - Phone:404-236-7555
Mailing Address - Fax:
Practice Address - Street 1:6160 PEACHTREE DUNWOODY RD NE
Practice Address - Street 2:SUITE A-100
Practice Address - City:SANDY SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30328-4578
Practice Address - Country:US
Practice Address - Phone:404-236-7555
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-03
Last Update Date:2010-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA20692174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAD39781Medicare UPIN