OrganizationActive
Lifestyle Care, LLC
NPI 1104683200 · Obesity Medicine (Internal Medicine) Physician · Atlanta, GA
Provider details
- NPI number
- 1104683200
- Entity type
- Organization
- Primary specialty
- Obesity Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Deniece Johnson, Owner(404) 429-2226
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Practice location
977 Azalee Hester Wharton Way Nw
Atlanta, GA 30318-4559
Phone: (404) 429-2226
Approximate (ZIP-level) locationGet directions
Mailing address
977 Azalee Hester Wharton Way Nw
Atlanta, GA 30318-4559
Registry dates
- Enumerated
- 2024-03-05
- Last updated
- 2024-03-05
- Certified
- 2024-03-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.