| Organization Name: | GO HARD FOR LIFE INTERNATIONAL |
| NPI Number: | 1043689565 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MELONIE MARSH (CO-OWNER) |
| Mailing Address: | 4404 Deer Knoll Ct Raleigh |
| State: | NC US |
| Postal Code: | 276038589 |
| Phone Number: | 9199464712 |
| Fax Number: | |
| NPI Enumeration Date: | 09/15/2015 |
| NPI Last Update Date: | 09/16/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 9901279 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NC |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |