Organization
ATLANTIC MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NATALIE MARIE GIBSON R.D. (DIETITIAN AND FITNESS COACH)
(856) 912-0032
Entity
Organization
Contact information
Practice address
4 JOSH COURT, JACKSONVILLE, NC, NC 28546-5253
(910) 577-3636
Mailing address
804 EDGEMOOR ROAD, CHERRY HILL, NJ 08034
(856) 912-0032
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86008839
NJ
Other
Enumeration date
11/17/2015
Last updated
11/17/2015
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