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Contact Information

PATH OF LIFE NUTRITION
446 OAK GROVE RD
BOONE, NC28607-7618
 Phone: 803-575-0468
 Fax: 803-728-3224
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Diabetes Educator

163WD0400X
 

Nutrition, Obesity and Weight Management

133VN1201X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Pediatric

133VN1004X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Renal

133VN1005X 71 Registered Dietitian or Nutrition Professional
 

Nutritionist

133N00000X
Indicates primary specialty

NPI Profile & details for PATH OF LIFE NUTRITION

NPI Number 1972375673
LBN Legal business name PATH OF LIFE NUTRITION
Authorized official JEREMY PONDS - (OWNER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 10/25/2023
Last updated 10/25/2023 - About 3 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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