| NPI | 1891294385 |
|---|---|
| Former Legal Business Name | SAMANTHA SCRUGGS |
| Entity Type | Organization |
| Authorized Contact | SAMANTHA SCRUGGS Registered Dietitian 704-747-5642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Enumeration Date | 2018-02-09 |
| Last Update Date | 2019-12-23 |