Organization
PREMIER WEIGHT LOSS MANAGEMENT
Active
Organization
PREMIER WEIGHT LOSS MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUDELLA BROWN (OWNER)
(912) 344-8038
Entity
Organization
Contact information
Practice address
122 CANAL ST STE 102, POOLER, GA 31322-4408
(912) 450-0999
(912) 450-0998
Mailing address
122 CANAL ST STE 102, POOLER, GA 31322-4408
(912) 450-0999
(912) 450-0998
Taxonomy
Speciality
Code
Description
License number
State
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
Primary
—
—
Other
Enumeration date
06/20/2023
Last updated
06/20/2023
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