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Organization
PEAK NURITION AND WEIGHT LOSS CLINIC PA
Active
Organization
PEAK NURITION AND WEIGHT LOSS CLINIC PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL D. BLACKWELL M.D. (OWNER)
(919) 367-9355
Entity
Organization
Contact information
Practice address
1011 PEMBERTON HILL RD, SUITE 101, APEX, NC 27502-4266
(919) 367-9355
(919) 367-9276
Mailing address
1011 PEMBERTON HILL RD, SUITE 101, APEX, NC 27502-4266
(919) 367-9355
(919) 367-9276
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
L001396
NC
207Q00000X
Family Medicine Physician
32989
NC
Other
Enumeration date
05/23/2007
Last updated
09/11/2025
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