# FAMILY MEDICINE & WEIGHT LOSS MD PLLC

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

## Provider details

- **NPI number:** 1598176687
- **Authorized official:** HAIQIU E WANG MD (SOLE MEMBER)
- **Authorized official phone:** (901) 842-1473

## Contact information

- **Practice address:** 420 S GERMANTOWN PKWY, SUITE 105B, CORDOVA, TN 38018-4387
- **Practice address phone:** (901) 842-1473
- **Mailing address:** 420 S GERMANTOWN PKWY, SUITE 105B, CORDOVA, TN 38018-4387
- **Mailing address phone:** (901) 842-1473

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 37771 | TN | Yes |

## Other

- **Enumeration date:** 05/12/2014
- **Last updated:** 05/13/2014