| NPI | 1871255133 |
|---|---|
| Other Name | TD TELE DOC WEIGHT LOSS |
| Entity Type | Organization |
| Authorized Contact | MARIA STEWART COO 704-995-1168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2021-10-13 |
| Last Update Date | 2021-10-13 |