NPI | 1487145348 |
---|---|
Entity Type | Organization |
Authorized Contact | VERNON WILLIAMS Chief Executive Officer 336-701-3620 |
Organization Subpart ? | No |
Primary Taxonomy | 224Y00000X Clinical Exercise Physiologist |
Additional Taxonomies | 103TE1100X Psychologist, Exercise & Sports |
133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management | |
133VN1501X Dietitian, Registered, Nutrition, Sports Dietetics | |
207PS0010X Emergency Medicine, Sports Medicine | |
207QB0002X Family Medicine, Bariatric Medicine | |
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
2080B0002X Pediatrics, Obesity Medicine | |
2080S0010X Pediatrics, Sports Medicine | |
2081S0010X Physical Medicine & Rehabilitation, Sports Medicine | |
2083B0002X Preventive Medicine, Obesity Medicine | |
2084B0002X Psychiatry & Neurology, Bariatric Medicine | |
261QH0100X Clinic/Center, Health Services | |
Enumeration Date | 2018-05-25 |
Last Update Date | 2020-11-02 |