Organization Name: | FOUR COUNTY NUTRITION, INC |
NPI Number: | 1851567705 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TRACEY STAMATES ROERTY (OWNER) |
Mailing Address: | 1104 Village Oaks Dr Mount Airy |
State: | MD US |
Postal Code: | 217715378 |
Phone Number: | 2402155084 |
Fax Number: | |
NPI Enumeration Date: | 05/01/2008 |
NPI Last Update Date: | 10/03/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | D01409 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
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 |