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Organization

GRACELIVITY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELLE SMITH-BREAUX RDN, CDCES, CHES (OWNER/MANAGER)
(252) 375-8344
Entity
Organization

Contact information

Practice address
601 COUNTRY CLUB DR STE B184, GREENVILLE, NC 27834-6124
(252) 375-8344
Mailing address
601 COUNTRY CLUB DR STE B184, GREENVILLE, NC 27834-6124
(252) 375-8344

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
07/17/2025
Last updated
07/17/2025
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