Organization
INDIAN LAKE MEDICAL WEIGHT LOSS & WELLNESS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TOMEKA TAYLOR MINCHEY NURSE PRACTITIONER (OWNER)
(615) 822-9002
Entity
Organization
Contact information
Practice address
133 INDIAN LAKE RD, SUITE 204, HENDERSONVILLE, TN 37075-3883
(615) 822-9002
Mailing address
133 INDIAN LAKE RD, SUITE 204, HENDERSONVILLE, TN 37075-3883
(615) 822-9002
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
12512
TN
Other
Enumeration date
09/14/2009
Last updated
09/14/2009
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