| NPI | 1760058879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA BRASSARD Rd, Ld, Cdces 912-429-5898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management |
| Additional Taxonomies | 133VN1006X Dietitian, Registered, Nutrition, Metabolic |
| 133V00000X Dietitian, Registered | |
| 133VN1004X Dietitian, Registered, Nutrition, Pediatric | |
| 133VN1005X Dietitian, Registered, Nutrition, Renal | |
| 133VN1101X Dietitian, Registered, Nutrition, Gerontological | |
| 133VN1301X Dietitian, Registered, Nutrition, Oncology | |
| 163WD0400X Registered Nurse, Diabetes Educator | |
| Enumeration Date | 2021-05-29 |
| Last Update Date | 2021-12-08 |