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Organization
PHYSICIANS PREMIERE WEIGHT & WELLNESS CENTER, P.L.L.C.
Active
Organization
PHYSICIANS PREMIERE WEIGHT & WELLNESS CENTER, P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARI TISSANDIER (OFFICE MANAGER)
(757) 406-6645
Entity
Organization
Contact information
Practice address
25055 RIDING PLZ STE 230, CHANTILLY, VA 20152-5920
(703) 783-5673
(703) 297-8100
Mailing address
23289 MEADOWVALE GLEN CT, DULLES, VA 20166-2151
(703) 783-5673
(703) 297-8100
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/20/2019
Last updated
06/20/2019
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