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Organization

TENNESSEE STYLE WEIGHT LOSS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMEIL ABOU-HANNA (CEO)
(309) 229-4338
Entity
Organization

Contact information

Practice address
355 NEW SHACKLE ISLAND RD STE 128B, HENDERSONVILLE, TN 37075-2479
(309) 229-4338
Mailing address
355 NEW SHACKLE ISLAND RD STE 128B, HENDERSONVILLE, TN 37075-2479
(309) 229-4338

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
208600000X
Surgery Physician
Primary

Other

Enumeration date
07/27/2023
Last updated
01/16/2025
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