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Organization

SELF CENTERED WEIGHT LOSS AND WELLNESS OF MURFREESBORO, PLLC

Active
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Organization

SELF CENTERED WEIGHT LOSS AND WELLNESS OF MURFREESBORO, PLLC

Active
Other names
Mitchell Family Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
AMANDA J SMITH (OFFICE MANAGER)
(615) 849-7777
Entity
Organization

Contact information

Practice address
1211 LEAF AVE STE 102, MURFREESBORO, TN 37130-2642
(615) 849-7777
(615) 849-7753
Mailing address
1211 LEAF AVE STE 102, MURFREESBORO, TN 37130-2642
(615) 849-7777
(615) 849-7753

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
363L00000X
Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1518270115
GROUP NPI NUMBER
TN
05
3499953
TN
Enumeration date
07/23/2010
Last updated
03/04/2019
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If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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