Organization
NUTRITION SOLUTIONS GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MAMIE BYRD MED, RD, LDN (DIETITIAN)
(301) 943-2250
Entity
Organization
Contact information
Practice address
15 NOBLE ST, SMITHFIELD, NC 27577-9300
(301) 943-2250
Mailing address
PO BOX 985, CLAYTON, NC 27528-0985
(301) 943-2250
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L003168
NC
Other
Enumeration date
08/22/2011
Last updated
09/25/2012
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