PREMIER WEIGHT LOSS MANAGEMENT NPI 1417632175

NPI Information

  • NPI: 1417632175
  • Provider Name: PREMIER WEIGHT LOSS MANAGEMENT
  • Classification: Preventive Medicine - 2083B0002X
  • Specialization: Obesity Medicine
  • Entity Type: Organization
  • Address: 122 CANAL ST STE 102
    POOLER, GA
    ZIP 31322
  • Phone: (912) 450-0999

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NPI Details

PREMIER WEIGHT LOSS MANAGEMENT is an obesity medicine preventive medicine in Pooler, GA. The provider is a 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. PREMIER WEIGHT LOSS MANAGEMENT NPI is 1417632175. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

122 CANAL ST STE 102
POOLER, GA
ZIP 31322-408
Phone: (912) 450-0999
Fax: (912) 450-0998

The provider's authorized official is Ludella Brown .
The authorized official title is Owner and has the following contact phone number (912) 344-8038.

The enumeration date for this NPI number is 6/20/2023 and was last updated on 6/20/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12083B0002XPreventive MedicineObesity MedicineYes

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: 11/21/2025

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