| Back 2 Basics Nutrition Llc | |
|
2028 Liberty Rd Ste 103 Eldersburg MD 21784-5079 | |
| (410) 598-4336 | |
| Not Available |
| Full Name | Back 2 Basics Nutrition Llc |
|---|---|
| Speciality | Pediatrics |
| Location | 2028 Liberty Rd Ste 103, Eldersburg, Maryland |
| Authorized Official Name and Position | Lindsey Gill Carter (OWNER) |
| Authorized Official Contact | 4105984336 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Back 2 Basics Nutrition Llc 2028 Liberty Rd Ste 103 Eldersburg MD 21784-5079 Ph: (410) 598-4336 | Back 2 Basics Nutrition Llc 2028 Liberty Rd Ste 103 Eldersburg MD 21784-5079 Ph: (410) 598-4336 |
| NPI Number | 1629713201 |
|---|---|
| Provider Enumeration Date | 04/28/2022 |
| Last Update Date | 04/28/2022 |
| Certification Date | 04/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629713201 | NPI | - | NPPES |
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