OrganizationActive
Premier Weight Loss Management
NPI 1417632175 · Obesity Medicine (Preventive Medicine) Physician · Pooler, GA
Provider details
- NPI number
- 1417632175
- Entity type
- Organization
- Primary specialty
- Obesity Medicine (Preventive Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ludella Brown, Owner(912) 344-8038
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
122 Canal St Ste 102
Pooler, GA 31322-4408
Phone: (912) 450-0999
Fax: (912) 450-0998
Approximate (ZIP-level) locationGet directions
Mailing address
122 Canal St Ste 102
Pooler, GA 31322-4408
Registry dates
- Enumerated
- 2023-06-20
- Last updated
- 2023-06-20
- Certified
- 2023-06-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.