Provider Demographics
NPI:1558104018
Name:GADSDEN WEIGHT CONTROL, LLC
Entity type:Organization
Organization Name:GADSDEN WEIGHT CONTROL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHARI
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-709-6765
Mailing Address - Street 1:959 GILBERT FERRY RD SE STE K
Mailing Address - Street 2:
Mailing Address - City:ATTALLA
Mailing Address - State:AL
Mailing Address - Zip Code:35954-3335
Mailing Address - Country:US
Mailing Address - Phone:256-442-2686
Mailing Address - Fax:
Practice Address - Street 1:959 GILBERT FERRY RD SE STE K
Practice Address - Street 2:
Practice Address - City:ATTALLA
Practice Address - State:AL
Practice Address - Zip Code:35954-3335
Practice Address - Country:US
Practice Address - Phone:205-709-6765
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-13
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center