NPIMap

Organization Active NPI

R&K Medcal Weight Loss Clinic

  • Medical Specialty Clinic/Center
  • Tyrone, GA
National Provider Identifier
1184980336
Registry record updated Apr 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
8797 Issued in GA
Legal business name
R&K MEDCAL WEIGHT LOSS CLINIC
Practice address
105 Saint Stephens CT
Suite F
Tyrone, GA 30290-1716
Phone
(770) 964-0611
Fax
(770) 964-0608
NPI assigned
Apr 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Ezekiel Walter Hood, MD
Title
Medical Director
Phone
(770) 964-0611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 8797 GA Primary

Addresses

Primary practice location

105 Saint Stephens CT
Suite F
Tyrone, GA 30290-1716

Mailing address

105 Saint Stephens CT
Suite F
Tyrone, GA 30290-1716
Phone (770) 964-0611

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333324800000",
    "number": "1184980336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 SAINT STEPHENS CT",
            "address_2": "SUITE F",
            "city": "TYRONE",
            "state": "GA",
            "postal_code": "302901716",
            "telephone_number": "770-964-0611",
            "fax_number": "770-964-0608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 SAINT STEPHENS CT",
            "address_2": "SUITE F",
            "city": "TYRONE",
            "state": "GA",
            "postal_code": "302901716",
            "telephone_number": "770-964-0611",
            "fax_number": "770-964-0608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R&K MEDCAL WEIGHT LOSS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-02",
        "last_updated": "2012-04-02",
        "status": "A",
        "authorized_official_last_name": "HOOD",
        "authorized_official_first_name": "EZEKIEL",
        "authorized_official_middle_name": "WALTER",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "770-964-0611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "GA",
            "license": "8797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyrone, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.