Doctor Name: | MRS. RYAN SUMMERFORD SOBUS |
NPI Number: | 1437488392 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPH, RD, LDN |
License Number: | L002886 |
Business Practice Address: | 8300 Health Park Suite 325 Raleigh, NC - 276154730 |
Business Phone Number: | 9198701001 |
Business Fax Number: | |
Mailing Address: | 5323 N Highland Dr, DURHAM |
State: | NC |
Postal Code: | 277121919 |
Phone Number: | 9193608002 |
Fax Number: | |
NPI Enumeration Date: | 12/23/2009 |
NPI Last Update Date: | 02/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | L002886 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |