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PREMIER AGE MANAGEMENT AND MEDICAL WEIGHT LOSS CENTER LLC NPI 1104267111


NPI Information

NPI: 1104267111
Provider Name: PREMIER AGE MANAGEMENT AND MEDICAL WEIGHT LOSS CENTER, LLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
229 WARD CIR
A-23
BRENTWOOD, TN
ZIP 37027
Phone: (615) 649-9600
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PREMIER AGE MANAGEMENT AND MEDICAL WEIGHT LOSS CENTER, LLC is a clinic center in Brentwood, TN. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). PREMIER AGE MANAGEMENT AND MEDICAL WEIGHT LOSS CENTER, LLC NPI is 1104267111. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

229 WARD CIR
A-23
BRENTWOOD, TN
ZIP 37027-518
Phone: (615) 649-9600
Fax: (615) 649-9601

The provider's authorized official is William Ryan Walker .
The authorized official title is Administrative Director and has the following contact phone number (615) 649-9600.

The enumeration date for this NPI number is 7/8/2013 and was last updated on 7/8/2013.


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
1132700000XDietary ManagerNo
2133N00000XNutritionistNo
3207Q00000XFamily MedicineNo
42083P0011XPreventive MedicineUndersea and Hyperbaric MedicineNo
52083P0901XPreventive MedicinePublic Health & General Preventive MedicineNo
62083S0010XPreventive MedicineSports MedicineNo
7208D00000XGeneral PracticeNo
8363A00000XPhysician AssistantTENNESSEENo
9363L00000XNurse PractitionerTENNESSEENo
10261Q00000XClinic/CenterYes

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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