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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