| NPI | 1548000748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACIE BULLOCK WHEATLEY Owner & Clinical Dietitian 864-907-3636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2024-05-28 |
| Last Update Date | 2024-05-28 |