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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

NPI # 1417632175
LBN Legal business name PREMIER WEIGHT LOSS MANAGEMENT
Authorized official LUDELLA BROWN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/20/2023
Last updated 06/20/2023 - About 3 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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