Provider Demographics
NPI:1730608456
Name:DOCTORS WEIGHT LOSS CENTER OF CARY
Entity type:Organization
Organization Name:DOCTORS WEIGHT LOSS CENTER OF CARY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:J
Authorized Official - Last Name:SCHMIDT
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:919-852-2132
Mailing Address - Street 1:216 ASHVILLE AVE STE 30
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-6679
Mailing Address - Country:US
Mailing Address - Phone:919-852-2132
Mailing Address - Fax:
Practice Address - Street 1:216 ASHVILLE AVE STE 30
Practice Address - Street 2:
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-6679
Practice Address - Country:US
Practice Address - Phone:919-852-2132
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2000-00306207QB0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QB0002XAllopathic & Osteopathic PhysiciansFamily MedicineObesity MedicineGroup - Single Specialty