| Indian Lake Medical Weight Loss & Wellness, Pllc | |
|
133 Indian Lake Rd Suite 204 Hendersonville TN 37075-3883 | |
| (615) 822-9002 | |
| Not Available |
| Full Name | Indian Lake Medical Weight Loss & Wellness, Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 133 Indian Lake Rd, Hendersonville, Tennessee |
| Authorized Official Name and Position | Tomeka Taylor Minchey (OWNER) |
| Authorized Official Contact | 6158229002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Indian Lake Medical Weight Loss & Wellness, Pllc 133 Indian Lake Rd Suite 204 Hendersonville TN 37075-3883 Ph: (615) 822-9002 | Indian Lake Medical Weight Loss & Wellness, Pllc 133 Indian Lake Rd Suite 204 Hendersonville TN 37075-3883 Ph: (615) 822-9002 |
| NPI Number | 1073846697 |
|---|---|
| Provider Enumeration Date | 09/14/2009 |
| Last Update Date | 09/14/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073846697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 12512 (Tennessee) | Primary |
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