Organization
GIBRALTAR BIZ, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRITHA SKINNER DINWIDDIE RDN (OWNER)
(678) 485-3308
Entity
Organization
Contact information
Practice address
5505 E MOUNTAIN ST, STONE MOUNTAIN, GA 30083-3027
(678) 485-3308
Mailing address
5505 E MOUNTAIN ST, STONE MOUNTAIN, GA 30083-3027
(678) 485-3308
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093126997
—
GA
01
—
2273
STATE BOARD OF LICENSURE
KS
01
—
677280
COMMISSION ON DIETETIC REGISTRATION, ACADEMY OF NUTRITION AND DIETETICS
—
01
—
878
STATE BOARD OF LICENSURE
GA
01
—
893
STATE BOARD OF LICENSURE
AL
01
—
D1103
STATE BOARD OF LICENSURE
MS
01
—
DT85347
STATE BOARD OF LICENSURE
TX
01
—
L003247
STATE BOARD OF LICENSURE
NC
01
—
LDN2393
STATE BOARD OF LICENSURE
TN
01
—
ND9557
STATE BOARD OF LICENSURE
FL
Enumeration date
07/31/2021
Last updated
07/31/2021
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