Physicians Premiere Weight & Wellness Center, P.l.l.c.

NPI #1952961989 in Chantilly, Virginia

Provider Information

NPI Number: 1952961989
Entity Type: Organization
Organization Name: Physicians Premiere Weight & Wellness Center, P.l.l.c.
Primary Specialty: Family Medicine
Enumeration Date: Jun 20, 2019
Last Updated: Jun 20, 2019

Practice Location

Address: 25055 RIDING PLZ STE 230
City: Chantilly
State: Virginia
ZIP Code: 20152-5920
Phone: (703) 783-5673

Authorized Official

Name: KARI TISSANDIER
Title: OFFICE MANAGER
Phone: (757) 406-6645

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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