Premier Wellness & Medical Weight Loss, Inc.

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

031085 Issued in GA

Legal business name

PREMIER WELLNESS & MEDICAL WEIGHT LOSS, INC.

Practice address

7395 Hodgson Memorial Dr
Ste 101
Savannah, GA 31406-1505

Phone

(912) 920-3900

Fax

(912) 921-0503

NPI assigned

Oct 9, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Michael Steven Cline, DC

Title

Ceo

Phone

(912) 920-3900

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1223510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223510400000",
    "number": "1487805263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7395 HODGSON MEMORIAL DR",
            "address_2": "STE 101",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314061505",
            "telephone_number": "912-920-3900",
            "fax_number": "912-921-0503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7395 HODGSON MEMORIAL DR",
            "address_2": "STE 101",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314061505",
            "telephone_number": "912-920-3900",
            "fax_number": "912-921-0503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER WELLNESS & MEDICAL WEIGHT LOSS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-09",
        "last_updated": "2008-10-09",
        "status": "A",
        "authorized_official_last_name": "CLINE",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "912-920-3900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": "GA",
            "license": "031085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sports Medicine (Family Medicine) Physician in Savannah, GA
• Providers in Savannah, GA by specialty
• Sports Medicine (Family Medicine) Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.