Organization
MEDICAL NUTRITION AND INTEGRATIVE MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPHINE BROWN MD (CEO)
(919) 231-4809
Entity
Organization
Contact information
Practice address
807 SPRING FOREST RD, SUITE1800, RALEIGH, NC 27609-9197
(919) 231-4809
Mailing address
807 SPRING FOREST RD, SUITE 1800, RALEIGH, NC 27609-9197
(919) 231-4809
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8918609
—
NC
Enumeration date
07/19/2012
Last updated
10/29/2012
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