Organization
JACKSON WEIGHT MANAGEMENT, INC.
Active
Other names
Achieve Medical Weight Loss
Organization subpart
No
Provider details
NPI number
Authorized official
IRA KEITH ELLIS MD (MEDICAL DIRECTOR)
(731) 610-6988
Entity
Organization
Contact information
Practice address
289 VANN DR STE A&B, JACKSON, TN 38305-6050
(731) 410-6786
Mailing address
378 CARRIAGE HOUSE DR STE E, JACKSON, TN 38305-2254
Taxonomy
Speciality
Code
Description
License number
State
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
Primary
—
—
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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