Peak Nutrition and Weight Loss Clinic, P.a.

NPI #1336452390 in Holly Springs, North Carolina

Provider Information

NPI Number
1336452390
Entity Type
Organization
Organization Name
Peak Nutrition and Weight Loss Clinic, P.a.
Subpart
Yes (part of a larger organization)
Parent Organization
PEAK NUTRITION AND WEIGHT LOSS CLINIC, P.A.
Primary Specialty
Family Medicine - Obesity Medicine
Enumeration Date
Jul 20, 2010
Last Updated
Jul 20, 2010

Practice Location

Address
216 VILLAGE WALK DR
ZIP Code
27540-7681
Phone
(919) 586-0031

Authorized Official

Name
DR. SAMUEL D BLACKWELL, M.D.
Title
OWNER/MEDICAL DIRECTOR
Phone
(919) 586-0031

Specialties & Taxonomy Codes

Specialty
Family Medicine - Obesity MedicineObesity Medicine

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