| NPI | 1669911939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN VANBEVERHOUDT Credentials Office 912-435-5687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: UT 10173220-4901) |
| Enumeration Date | 2017-02-18 |
| Last Update Date | 2017-02-18 |