| NPI | 1568944643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD GEORGE FITZGERALD Registered Dietitian 919-594-1885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: NC l005552) |
| Enumeration Date | 2018-09-05 |
| Last Update Date | 2018-09-05 |