Provider Demographics
NPI:1467214601
Name:SMART FIT BY BRIAN , LLC
Entity Type:Organization
Organization Name:SMART FIT BY BRIAN , LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:JAMAL
Authorized Official - Last Name:MEADOWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:470-331-8658
Mailing Address - Street 1:2100 RIVERSIDE PKWY STE 128-144
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30043-5927
Mailing Address - Country:US
Mailing Address - Phone:470-331-8658
Mailing Address - Fax:
Practice Address - Street 1:2204 FOUNTAIN SQ
Practice Address - Street 2:
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30078-5757
Practice Address - Country:US
Practice Address - Phone:470-331-8658
Practice Address - Fax:888-284-1971
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-24
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171400000XOther Service ProvidersHealth & Wellness CoachGroup - Single Specialty