1083961429 NPI number — WEIGHT NO LONGER, LLC

Table of content: DR. CHRISTOPHER STEPHEN ARMSTRONG M.D. (NPI 1265695233)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1083961429 NPI number — WEIGHT NO LONGER, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
WEIGHT NO LONGER, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1083961429
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/03/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
114 CANAL ST
Provider Second Line Business Mailing Address:
SUITE 501
Provider Business Mailing Address City Name:
POOLER
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
31322-4153
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
912-450-8100
Provider Business Mailing Address Fax Number:
912-450-8002

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
114 CANAL ST
Provider Second Line Business Practice Location Address:
SUITE 501
Provider Business Practice Location Address City Name:
POOLER
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
31322-4153
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
912-450-8100
Provider Business Practice Location Address Fax Number:
912-450-8002
Provider Enumeration Date:
08/03/2012

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
BRAUN
Authorized Official First Name:
OLIVER
Authorized Official Middle Name:
Authorized Official Title or Position:
MANAGER
Authorized Official Telephone Number:
912-450-8100

Provider Taxonomy Codes

  • Taxonomy code: 132700000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)