Organization
CAROLINA NUTRITION SPECIALISTS
Active
Organization
CAROLINA NUTRITION SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETSY COVINGTON MIKOLAJEWSKI RDN (CO-OWNER, NUTRITIONIST)
(919) 215-7609
Entity
Organization
Contact information
Practice address
401 N WEST ST, SUITE 121, RALEIGH, NC 27603-1399
(919) 215-7609
Mailing address
7124 EASTRIDGE DR, APEX, NC 27539-6822
(919) 215-7609
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
001101
NC
Other
Enumeration date
07/12/2016
Last updated
07/12/2016
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