| NPI | 1427496173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE ANN KINNER Registered Dietitian 704-355-9484 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NC L004000) |
| Enumeration Date | 2013-06-04 |
| Last Update Date | 2013-06-04 |