OrganizationActive
Advanced Medical Weight Loss Center
NPI 1922412683 · Allergy Physician · Atlanta, GA
Provider details
- NPI number
- 1922412683
- Entity type
- Organization
- Primary specialty
- Allergy PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Jennifer Clark, Owner
Practice location
1100 Spring St Nw
Suite 150
Atlanta, GA 30309-2846
Phone: (678) 294-0444
Mailing address
1490 Lane Creek Rd
Bogart, GA 30622-2627
Registry dates
- Enumerated
- 2014-06-19
- Last updated
- 2014-06-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.