| Physicians Premiere Weight & Wellness Center, P.l.l.c. | |
|
25055 Riding Plz Ste 230 Chantilly VA 20152-5920 | |
| (703) 783-5673 | |
| (703) 297-8100 |
| Full Name | Physicians Premiere Weight & Wellness Center, P.l.l.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 25055 Riding Plz Ste 230, Chantilly, Virginia |
| Authorized Official Name and Position | Kari Tissandier (OFFICE MANAGER) |
| Authorized Official Contact | 7574066645 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Physicians Premiere Weight & Wellness Center, P.l.l.c. 23289 Meadowvale Glen Ct Dulles VA 20166-2151 Ph: (703) 783-5673 | Physicians Premiere Weight & Wellness Center, P.l.l.c. 25055 Riding Plz Ste 230 Chantilly VA 20152-5920 Ph: (703) 783-5673 |
| NPI Number | 1952961989 |
|---|---|
| Provider Enumeration Date | 06/20/2019 |
| Last Update Date | 06/20/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952961989 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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