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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