Provider Demographics
NPI:1902443377
Name:MSD NUTRITION CONSULTING
Entity Type:Organization
Organization Name:MSD NUTRITION CONSULTING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:STUART
Authorized Official - Last Name:DEVINE
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:919-308-5401
Mailing Address - Street 1:9 LOCH NESS CT
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27705-5441
Mailing Address - Country:US
Mailing Address - Phone:919-450-6304
Mailing Address - Fax:
Practice Address - Street 1:321 E CHAPEL HILL ST STE 301
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27701-3351
Practice Address - Country:US
Practice Address - Phone:919-308-5401
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-04
Last Update Date:2019-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty