| Organization Name: | FITMED WELLNESS, LLC |
| NPI Number: | 1548551344 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | BRETT ADAM GREENBERG (CEO) |
| Mailing Address: | 9420 Willeo Rd Suite 206 Roswell |
| State: | GA US |
| Postal Code: | 300756772 |
| Phone Number: | 7705523232 |
| Fax Number: | 7705523230 |
| NPI Enumeration Date: | 04/27/2011 |
| NPI Last Update Date: | 05/02/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 031205 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |