Washington Pediatrics
Dietitian, Registered, Nutrition, Pediatric in Washington, NC. Organization (NPI-2).
NPI number1982904223
StatusActive
Last updated in NPPESNov 2, 2010
Details
- NPI
- 1982904223
- Entity type
- Organization (NPI-2)
- Legal business name
- Washington Pediatrics
- Organization subpart
- No
- Enumeration date
- Nov 2, 2010
- Last updated
- Nov 2, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133VN1004X | Dietitian, Registered, Nutrition, Pediatric | – | – | Yes |
Practice location
1206 Brown StWashington, NC 27889-4671
Phone 252-946-4134 · Fax 252-946-2432
Mailing address
1206 Brown StWashington, NC 27889-4671
Phone 252-946-4134 · Fax 252-946-2432
Authorized official
Russel C Cook
President
2529464134
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