| NPI | 1811593676 |
|---|---|
| Doing Business As | ACHIEVE MEDICAL WEIGHT LOSS |
| Entity Type | Organization |
| Authorized Contact | IRA KEITH ELLIS Medical Director 731-610-6988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management |
| Enumeration Date | 2020-12-08 |
| Last Update Date | 2020-12-08 |