NPI 1073882700

Wellness and Weight Loss

Organisation General Practice Physician Trussville, AL

Practice location

Address: 4735 Norrel Dr Suite 109, Trussville, AL 35173-3603
Phone: (205) 655-9355
Fax: (205) 655-9354

Authorised official

Name: Derek Watkins
Title: Office Manager
Phone: (205) 655-9355

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Alabama →

Registry record

NPI: 1073882700
Entity type: Organization
NPI issued: 27 Dec 2011
Record last updated: 27 Dec 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.