# PEAK NUTRITION AND WEIGHT LOSS CLINIC, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** PEAK NUTRITION AND WEIGHT LOSS CLINIC, P.A.
- **Other names:** Peak Nutrition and Weight Loss Clinic Holly Springs
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1336452390
- **Legal business name:** PEAK NUTRITION AND WEIGHT LOSS CLINIC, P.A.
- **Authorized official:** DR. SAMUEL D BLACKWELL M.D. (OWNER/MEDICAL DIRECTOR)
- **Authorized official phone:** (919) 586-0031

## Contact information

- **Practice address:** 216 VILLAGE WALK DR, HOLLY SPRINGS, NC 27540-7681
- **Practice address phone:** (919) 586-0031
- **Practice address fax:** (919) 586-0035
- **Mailing address:** 216 VILLAGE WALK DR, HOLLY SPRINGS, NC 27540-7681
- **Mailing address phone:** (919) 586-0031
- **Mailing address fax:** (919) 586-0035

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QB0002X | Obesity Medicine (Family Medicine) Physician | 32989 | NC | Yes |

## Other

- **Enumeration date:** 07/20/2010
- **Last updated:** 07/20/2010