Organization
DRDS, PLLC
Active
Other names
Pivotal Health
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DENAE FREDERICK (MANAGER)
(813) 482-8203
Entity
Organization
Contact information
Practice address
3135 SPRINGBANK LN STE 140, CHARLOTTE, NC 28226-3363
(704) 702-6555
(704) 702-6555
Mailing address
1235 EAST BLVD. ST E-266, E-266, CHARLOTTE, NC 28203
(813) 482-8203
Taxonomy
Speciality
Code
Description
License number
State
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
—
—
202D00000X
Integrative Medicine Physician
Primary
—
—
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
—
—
Other
Enumeration date
12/11/2024
Last updated
12/11/2024
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