NPI | 1356799183 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN E GANTT President, Owner 910-916-6855 |
Organization Subpart ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L000620) |
Enumeration Date | 2016-06-02 |
Last Update Date | 2016-06-02 |