MERIDIAN WEIGHT MANAGEMENT CENTER-PHILADELPHIA NPI 1760113872

NPI Information

NPI: 1760113872
Provider Name: MERIDIAN WEIGHT MANAGEMENT CENTER-PHILADELPHIA
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 25D2122302

Address:
1120 E MAIN ST STE 25
PHILADELPHIA, MS
ZIP 39350
Phone: (601) 781-4086
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MERIDIAN WEIGHT MANAGEMENT CENTER-PHILADELPHIA is a family nurse practitioner in Philadelphia, MS. MERIDIAN WEIGHT MANAGEMENT CENTER-PHILADELPHIA NPI is 1760113872. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1120 E MAIN ST STE 25
PHILADELPHIA, MS
ZIP 39350-300
Phone: (601) 781-4086

The provider's authorized official is Dana Davis .
The authorized official title is Clinic Manager and has the following contact phone number (601) 781-4086.

The CLIA number assigned to this NPI record is 25D2122302 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/20/2022 and was last updated on 6/26/2022.

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
1	363LF0000X	Nurse Practitioner	Family			Yes

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: 5/5/2024

NPI Synchronization or Removal

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