Organization
REILLY BEATTY SPORTS NUTRITION LLC
Active
Organization
REILLY BEATTY SPORTS NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REILLY BEATTY RD, MS, CSSD (REGISTERED DIETITIAN)
(424) 346-3037
Entity
Organization
Contact information
Practice address
728 SURREY PATH TRL, WINSTON SALEM, NC 27104-5035
(424) 346-3037
Mailing address
728 SURREY PATH TRL, WINSTON SALEM, NC 27104-5035
Taxonomy
Speciality
Code
Description
License number
State
133VN1501X
Sports Dietetics Nutrition Registered Dietitian
Primary
—
—
Other
Enumeration date
01/17/2026
Last updated
01/17/2026
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