Organization
GENESIS WELLNESS WEIGHT LOSS AND AESTHETICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SOPHIA NOBLE FNP (NURSE PRACTITIONER / OWNER)
(901) 830-8850
Entity
Organization
Contact information
Practice address
2855 STAGE VILLAGE CV STE 5, BARTLETT, TN 38134-4616
(901) 245-1975
(901) 688-2098
Mailing address
2855 STAGE VILLAGE CV STE 5, BARTLETT, TN 38134-4616
(901) 245-1975
(901) 688-2098
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/17/2025
Last updated
05/01/2025
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