Provider Demographics
NPI:1649522772
Name:HEALTH CHEX MEDICAL WEIGHT LOSS & WELLNESS CENTER INC.
Entity type:Organization
Organization Name:HEALTH CHEX MEDICAL WEIGHT LOSS & WELLNESS CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:BONITA
Authorized Official - Middle Name:
Authorized Official - Last Name:HUNT
Authorized Official - Suffix:
Authorized Official - Credentials:ETC
Authorized Official - Phone:770-629-1600
Mailing Address - Street 1:1572 HIGHWAY 85 N STE 340
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30214-7729
Mailing Address - Country:US
Mailing Address - Phone:770-629-1600
Mailing Address - Fax:
Practice Address - Street 1:1572 HIGHWAY 85 N STE 340
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30214-7729
Practice Address - Country:US
Practice Address - Phone:770-629-1600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-12
Last Update Date:2012-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service