| Back 2 Basics Nutrition Llc | |
|
5216 Chairmans Ct Ste 104 Frederick MD 21703-2858 | |
| (410) 598-4336 | |
| (443) 280-6441 |
| Full Name | Back 2 Basics Nutrition Llc |
|---|---|
| Speciality | Pediatrics |
| Location | 5216 Chairmans Ct Ste 104, Frederick, 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 5216 Chairmans Ct Ste 104 Frederick MD 21703-2858 Ph: (410) 598-4336 |
| NPI Number | 1922693423 |
|---|---|
| Provider Enumeration Date | 03/05/2021 |
| Last Update Date | 07/24/2023 |
| Certification Date | 07/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922693423 | NPI | - | NPPES |
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