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Contact Information

TOTAL NUTRITION TECHNOLOGY, INC.
10400 MALLARD CREEK RD STE 340
CHARLOTTE, NC28262-5203
 Phone: 704-549-9550
 Fax: 704-549-9570
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Dietetic Technician, Registered

136A00000X
 

Nutrition, Education

133NN1002X
 

Nutrition, Metabolic

133VN1006X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Pediatric

133VN1004X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for TOTAL NUTRITION TECHNOLOGY, INC.

NPI Number 1467599001
LBN Legal business name TOTAL NUTRITION TECHNOLOGY, INC.
Authorized official ANGELA WILKINSON - (FOUNDER, PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/31/2007
Last updated 03/08/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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