Organization
WELLNESS AND WEIGHT LOSS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DEREK WATKINS RN (OFFICE MANAGER)
(205) 655-9355
Entity
Organization
Contact information
Practice address
4735 NORREL DR, SUITE 109, TRUSSVILLE, AL 35173-3603
(205) 655-9355
(205) 655-9354
Mailing address
4735 NORREL DR, SUITE 109, TRUSSVILLE, AL 35173-3603
(205) 655-9355
(205) 655-9354
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
12/27/2011
Last updated
12/27/2011
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