Organization · Type 2 NPI
Premier Age Management and Medical Weight Loss Center, LLC
Clinic/Center · Brentwood, TN
NPI number
1104267111
Active
Practice location
229 Ward Cir, A-23
Brentwood, TN 37027-7518
Fax (615) 649-9601
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietary Manager | 132700000X | None listed |
| Nutritionist | 133N00000X | None listed |
| Family Medicine Physician | 207Q00000X | None listed |
| Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | 2083P0011X | None listed |
| Public Health & General Preventive Medicine Physician | 2083P0901X | None listed |
| Sports Medicine (Preventive Medicine) Physician | 2083S0010X | None listed |
| General Practice Physician | 208D00000X | None listed |
| Clinic/Center Primary | 261Q00000X | None listed |
| Physician Assistant | 363A00000X | None listed |
| Nurse Practitioner | 363L00000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
3 other providers at this address
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About NPI 1104267111
Premier Age Management and Medical Weight Loss Center, LLC's National Provider Identifier is 1104267111, issued on Jul 8, 2013. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Brentwood, TN. The record was last updated on Jul 8, 2013.