| NPI | 1285918292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY KIM COFFIN Business Manager 336-294-0910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133VN1006X Dietitian, Registered Nutrition, Metabolic |
| Enumeration Date | 2011-10-10 |
| Last Update Date | 2011-10-10 |