Provider Demographics
NPI:1316719255
Name:BARIATRIC METABOLIC INSTITUTE OF ATLANTA
Entity type:Organization
Organization Name:BARIATRIC METABOLIC INSTITUTE OF ATLANTA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:TITUS
Authorized Official - Middle Name:D
Authorized Official - Last Name:DUNCAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:404-881-8020
Mailing Address - Street 1:4200 NORTHSIDE PKWY, NW
Mailing Address - Street 2:BUILDING 8, SUITE 200
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30327
Mailing Address - Country:US
Mailing Address - Phone:678-357-0526
Mailing Address - Fax:404-600-1251
Practice Address - Street 1:4200 NORTHSIDE PKWY, NW
Practice Address - Street 2:BUILDING 8, SUITE 200
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30327
Practice Address - Country:US
Practice Address - Phone:678-357-0526
Practice Address - Fax:404-600-1251
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-24
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty