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Organization

GO HARD FOR LIFE INTERNATIONAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MELONIE MARSH (CO-OWNER)
(919) 946-4712
Entity
Organization

Contact information

Practice address
4404 DEER KNOLL CT, RALEIGH, NC 27603-8589
(919) 946-4712
Mailing address
4404 DEER KNOLL CT, RALEIGH, NC 27603-8589
(919) 946-4712

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
9901279
NC
208D00000X
General Practice Physician
9901279
NC

Other

Enumeration date
09/15/2015
Last updated
09/16/2015
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