Organization
PEAK NUTRITION AND WEIGHT LOSS CLINIC, P.A.
Active
Parent organization
PEAK NUTRITION AND WEIGHT LOSS CLINIC, P.A.
Other names
Peak Nutrition and Weight Loss Clinic Holly Springs
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEAK NUTRITION AND WEIGHT LOSS CLINIC, P.A.
Authorized official
DR. SAMUEL D BLACKWELL M.D. (OWNER/MEDICAL DIRECTOR)
(919) 586-0031
Entity
Organization
Contact information
Practice address
216 VILLAGE WALK DR, HOLLY SPRINGS, NC 27540-7681
(919) 586-0031
(919) 586-0035
Mailing address
216 VILLAGE WALK DR, HOLLY SPRINGS, NC 27540-7681
(919) 586-0031
(919) 586-0035
Taxonomy
Speciality
Code
Description
License number
State
207QB0002X
Obesity Medicine (Family Medicine) Physician
Primary
32989
NC
Other
Enumeration date
07/20/2010
Last updated
07/20/2010
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