| NPI | 1497510184 |
|---|---|
| Doing Business As | TRYON DIABETES PREVENTION PROGRAM |
| Entity Type | Organization |
| Authorized Contact | JORDAN ARCHER Chief Operating Officier 704-259-4623 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2024-02-21 |
| Last Update Date | 2024-05-14 |