| NPI | 1184095812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL MOORE Owner 828-773-2702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC 949600) |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: NC L002554) |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2015-10-07 |