Organization
FITNESS 4 PROFESSIONALS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL MOORE RD (OWNER)
(828) 773-2702
Entity
Organization
Contact information
Practice address
108 DOCTORS DR, BOONE, NC 28607-5000
(828) 262-3886
Mailing address
854 PARKCREST DR, BOONE, NC 28607-5198
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
L002554
NC
133V00000X
Registered Dietitian
Primary
949600
NC
Other
Enumeration date
10/07/2015
Last updated
10/07/2015
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