Organization
CRYSTAL COAST WELLNESS AND PERFORMANCE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAYME LIMBAUGH LDN (PRESIDENT)
(252) 808-5623
Entity
Organization
Contact information
Practice address
4913 BRIDGES ST EXT STE 102, MOREHEAD CITY, NC 28557-8978
(252) 808-5623
Mailing address
4913 BRIDGES ST EXT STE 102, MOREHEAD CITY, NC 28557-8978
(252) 808-5623
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699336156
—
NC
Enumeration date
02/01/2020
Last updated
03/20/2025
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