Dorothy A Bradstock in Winston Salem - Nutrition, Pediatric
Dorothy A Bradstock - NPI 1306822473
Dorothy A Bradstock is a Nutrition, Pediatric in Winston Salem, North Carolina. Dorothy A Bradstock practices all healthcare services and medical treatments related to Nutrition, Pediatric. The NPI Number for Dorothy A Bradstock is 1306822473. The last update date is 2008-02-08.
Dorothy A Bradstock's current location address is Po Box 344, Winston Salem, North Carolina. You can contact this provider via phone number 3367162255. The mailing address for Dorothy A Bradstock is Po Box 344, Winston Salem, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dorothy A Bradstock |
|---|---|
| Address | Po Box 344, Winston Salem, North Carolina |
| Phone Number | 3367162255 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | RD |
NPI Number Detail
| NPI Number | 1306822473 |
|---|---|
| Provider Enumeration Date | 2005-12-20 |
| Last Updated Date | 2008-02-08 |
Provider Mailing Address Detail
| Address | Po Box 344 |
|---|---|
| City | Winston Salem |
| State | North Carolina (NC) |
| Post Code | 271020344 |
| Phone Number | 3367162255 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nutrition, Pediatric |
|---|---|
| Taxonomy | 133Vn1004X |
| Licence No | L000192 |
|
Definition: An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Dorothy A Bradstock by the Centers for Medicare & Medicaid Services?
The Dorothy A Bradstock has been issued the NPI (National Provider Identifier) 1306822473 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Dorothy A Bradstock?
The Dorothy A Bradstock is situated at Po Box 344, in the city of Winston Salem, state of NC, with the zip code 271020344.
What is the Dorothy A Bradstock's specialty and taxonomy code?
The Dorothy A Bradstock's specialty is Nutrition, Pediatric, and the corresponding taxonomy code is 133Vn1004X.
On what date did the Dorothy A Bradstock receive its 1306822473 assignment from the Centers for Medicare & Medicaid Services?
The Dorothy A Bradstock was assigned its 1306822473 by the Centers for Medicare & Medicaid Services on 2005-12-20.
When was the Dorothy A Bradstock's information last updated?
The Dorothy A Bradstock's information was last updated on 2008-02-08.
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