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MW WELLNESS XVII LLC NPI 1356723563


NPI Information

NPI: 1356723563
Provider Name: MW WELLNESS XVII, LLC

Doing Business As: MEDI-WEIGHTLOSS

Classification: Family Medicine - 207QB0002X
Entity Type: Organization

Specialization: Obesity Medicine

CLIA Number: 01D2238519

Address:
4407 OLD SHELL RD STE D
MOBILE, AL
ZIP 36608
Phone: (813) 228-6334
Get Directions

MW WELLNESS XVII, LLC is an obesity medicine family medicine in Mobile, AL. The provider is a family medicine physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity. MW WELLNESS XVII, LLC NPI is 1356723563. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Medi-weightloss.

The provider's business location address is:

4407 OLD SHELL RD STE D
MOBILE, AL
ZIP 36608-924
Phone: (813) 228-6334

The provider's authorized official is Jodi Despoy .
The authorized official title is Manager and has the following contact phone number (813) 228-6334.

The CLIA number assigned to this NPI record is 01D2238519 - other - medical weight loss with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/24/2015 and was last updated on 6/26/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QB0002XFamily MedicineObesity MedicineBL007515-01-2015SOUTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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