Organization
PISGAH SPORTS NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENDRA MILLER (OWNER)
(907) 304-2500
Entity
Organization
Contact information
Practice address
2 SPRINGSIDE PARK, ASHEVILLE, NC 28803-3325
(828) 290-9688
Mailing address
2 SPRINGSIDE PARK, ASHEVILLE, NC 28803-3325
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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