Healthcare Provider Details
I. General information
NPI: 1821506346
Provider Name (Legal Business Name): ALL IN GOOD HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/18/2018
Last Update Date: 01/18/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1389 STONE CREEK LN APT 206
CHARLOTTESVILLE VA
22902-7167
US
IV. Provider business mailing address
1389 STONE CREEK LN APT 206
CHARLOTTESVILLE VA
22902-7167
US
V. Phone/Fax
- Phone: 419-360-0379
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 133V00000X |
| Taxonomy | Registered Dietitian |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
HANNAH
GRIFFITH
Title or Position: REGISTERED DIETITIAN
Credential: RD
Phone: 419-360-0379