Organization
FOOD PHYSICS & BODY DYNAMICS LLC
Active
Other names
The Spirit of Food
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAURA L DAWSON MAOM, DIPL.AC., L.AC (DIRECTOR)
(910) 777-7307
Entity
Organization
Contact information
Practice address
2826 BELLWOOD AVE, CASTLE HAYNE, NC 28429-6506
(910) 777-7307
Mailing address
PO BOX 56, CASTLE HAYNE, NC 28429-0056
(910) 777-7307
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
U02298
MD
171100000X
Acupuncturist
Primary
U02298
MD
174H00000X
Health Educator
—
—
2083P0901X
Public Health & General Preventive Medicine Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
246Y00000X
Health Information Specialist/Technologist
—
—
261QR1100X
Research Clinic/Center
U02298
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016303
NATL CERTIFICATION NCCAOM
—
01
—
1225108400
NPI-OWNER ASSIGNED L DAWSON
—
01
—
29-1291
STANDARD OF OCCUPATION CODE-ACUPUNCTURIST
—
Enumeration date
04/13/2006
Last updated
09/18/2016
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