Individual
MATTHEW L BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, RDN, LD
Contact information
Practice address
160 W WILSON BRIDGE RD, WORTHINGTON, OH 43085-2676
(614) 293-5123
(614) 293-4980
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-5123
(614) 293-4980
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
5343
OH
Other
Enumeration date
08/20/2018
Last updated
10/08/2024
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