Organization · Type 2 NPI

Peak Nutrition and Weight Loss Clinic, P.a.

Obesity Medicine (Family Medicine) Physician · Holly Springs, NC

NPI number 1336452390 Active

Practice location

216 Village Walk Dr
Holly Springs, NC 27540-7681

Fax (919) 586-0035

Specialties and licenses

Taxonomy	Code	License
Obesity Medicine (Family Medicine) Physician Primary	207QB0002X	32989 (NC)

Obesity Medicine (Family Medicine) Physician: A physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilize…

NPI record

NPI: 1336452390
Entity type: Organization (Type 2)
Issued: Jul 20, 2010
Last updated: Jul 20, 2010
Status: Active
Subpart: Yes of Peak Nutrition and Weight Loss Clinic, P.a.

Other names

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Peak Nutrition and Weight Loss Clinic Holly Springs · other name

Authorized official

Dr. Samuel D Blackwell, MD
Owner/medical Director
(919) 586-0031

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1336452390

Peak Nutrition and Weight Loss Clinic, P.a.'s National Provider Identifier is 1336452390, issued on Jul 20, 2010. The primary taxonomy on file is Obesity Medicine (Family Medicine) Physician (207QB0002X), and the practice location is in Holly Springs, NC. The record was last updated on Jul 20, 2010.