Organization
THE DIETITIAN GROUP LLC
Active
Other names
MEDICAL NUTRITION THERAPIES GROUP LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SYBIL M FOSTER RD (DIRECTOR)
(757) 499-2018
Entity
Organization
Contact information
Practice address
638 INDEPENDENCE PKWY, SUITE 240, CHESAPEAKE, VA 23320-5216
(757) 499-2018
(757) 499-2017
Mailing address
PO BOX 6522, CHESAPEAKE, VA 23323-0522
(757) 499-2018
(757) 499-2017
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
877386
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010144094
—
VA
05
—
010144191
—
VA
Enumeration date
11/02/2006
Last updated
02/18/2011
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