# DR. ANDREA'S MEDICAL & WEIGHT LOSS CLINIC, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376095596
- **Authorized official:** DR. ANDRE WALKER DNP, FNP-C (OWNER)
- **Authorized official phone:** (901) 573-6765

## Contact information

- **Practice address:** 8317 CORDOVA RD, SUITE 201, CORDOVA, TN 38016-2088
- **Practice address phone:** (901) 573-6765
- **Mailing address:** 8317 CORDOVA RD, SUITE 201, CORDOVA, TN 38016-2088

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | APN0000011998 | TN | Yes |

## Other

- **Enumeration date:** 11/04/2016
- **Last updated:** 11/04/2016
