Provider Demographics
NPI:1053144188
Name:NEW YOU WEIGHT LOSS & WELLNESS CENTER
Entity type:Organization
Organization Name:NEW YOU WEIGHT LOSS & WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:DALE
Authorized Official - Last Name:BRINSON
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:843-761-8905
Mailing Address - Street 1:206 REMBERT C DENNIS BLVD
Mailing Address - Street 2:
Mailing Address - City:MONCKS CORNER
Mailing Address - State:SC
Mailing Address - Zip Code:29461-3943
Mailing Address - Country:US
Mailing Address - Phone:843-934-9649
Mailing Address - Fax:843-352-4831
Practice Address - Street 1:206 REMBERT C DENNIS BLVD
Practice Address - Street 2:
Practice Address - City:MONCKS CORNER
Practice Address - State:SC
Practice Address - Zip Code:29461-3943
Practice Address - Country:US
Practice Address - Phone:843-934-9649
Practice Address - Fax:843-352-4831
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-23
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care