| NPI | 1568883759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA S GIBSON Registered Dietitian, Nutritionist 704-785-1043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC L00325) |
| Enumeration Date | 2013-12-15 |
| Last Update Date | 2016-02-03 |