NPI | 1699667394 |
---|---|
Entity Type | Organization |
Authorized Contact | CARSON CLARK PATTERSON Registered Dietitian 336-713-3020 |
Organization Subpart ? | No |
Primary Taxonomy | 133V00000X Dietitian, Registered |
Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
Enumeration Date | 2025-07-17 |
Last Update Date | 2025-07-17 |