| NPI | 1851228787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRANT RUTLEDGE President 629-257-5944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QB0002X Family Medicine, Bariatric Medicine |
| Additional Taxonomies | 133VN1006X Dietitian, Registered, Nutrition, Metabolic |
| 133VN1201X Dietitian, Registered, Nutrition, Obesity and Weight Management | |
| 207RB0002X Internal Medicine, Bariatric Medicine | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| Enumeration Date | 2026-05-05 |
| Last Update Date | 2026-07-14 |