| NPI | 1720779457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN T MILLER Owner 919-896-4647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133VN1201X Dietitian, Registered Nutrition, Obesity and Weight Management |
| Enumeration Date | 2023-05-15 |
| Last Update Date | 2023-05-15 |