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Contact Information

PREMIER WEIGHT LOSS MANAGEMENT
122 CANAL ST STE 102
POOLER, GA31322-4408
 Phone: 912-450-0999
 Fax: 912-450-0998
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Obesity Medicine

2083B0002X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for PREMIER WEIGHT LOSS MANAGEMENT · (Female)

NPI # 1417632175
Status Active
Credentials
Entity Individual
Enumeration date 06/20/2023
Last updated 06/20/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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