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Organization

BACK 2 BASICS NUTRITION LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LINDSEY GILL CARTER MS, RDN (OWNER)
(410) 598-4336
Entity
Organization

Contact information

Practice address
2028 LIBERTY RD STE 103, ELDERSBURG, MD 21784-5079
(410) 598-4336
Mailing address
2028 LIBERTY RD STE 103, ELDERSBURG, MD 21784-5079
(410) 598-4336

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
133VN1004X
Pediatric Nutrition Registered Dietitian

Other

Enumeration date
04/28/2022
Last updated
07/24/2023
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