Organization Name: | NORTH MOUNTAIN DIETETIC SERVICES, LLC |
NPI Number: | 1497994172 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SHARON S. CLARK (REGISTERED DIETITIAN) |
Mailing Address: | 8006 Senedo Rd Mount Jackson |
State: | VA US |
Postal Code: | 228422232 |
Phone Number: | 5404774292 |
Fax Number: | |
NPI Enumeration Date: | 02/19/2009 |
NPI Last Update Date: | 02/19/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |