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Organization

LEAN KNOX, LLC

Active
Other names
Medi Weightloss
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JORDYN NICOLE MINAI (OFFICE MANAGER)
(865) 474-1490
Entity
Organization

Contact information

Practice address
317 EBENEZER RD, KNOXVILLE, TN 37923-5310
(865) 474-1490
(865) 249-8298
Mailing address
317 EBENEZER RD, KNOXVILLE, TN 37923-5310
(865) 474-1490
(865) 249-8298

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
TN

Other

Enumeration date
12/01/2017
Last updated
03/02/2023
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