Indian Lake Medical Weight Loss & Wellness, Pllc
NPI #1073846697 in Hendersonville, Tennessee
Provider Information
- NPI Number
- 1073846697
- Entity Type
- Organization
- Organization Name
- Indian Lake Medical Weight Loss & Wellness, Pllc
- Primary Specialty
- Clinic/Center - Primary Care
- Enumeration Date
- Sep 14, 2009
- Last Updated
- Sep 14, 2009
Practice Location
- Address
- 133 INDIAN LAKE RD
- Address 2
- SUITE 204
- City
- Hendersonville
- State
- Tennessee
- ZIP Code
- 37075-3883
- Phone
- (615) 822-9002
Authorized Official
- Name
- MRS. TOMEKA TAYLOR MINCHEY, NURSE PRACTITIONER
- Title
- OWNER
- Phone
- (615) 822-9002
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Primary Care — Primary Care |
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