| NPI | 1225736705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TREMAINE JAMAR WRIGHT Owner 251-599-2388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083B0002X Preventive Medicine, Obesity Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2023-02-23 |
| Last Update Date | 2023-09-26 |