Halifax County Health Department
Organization Active NPI Metabolic Nutrition Registered Dietitian · Halifax, NC
NPI 1124303722 · NPPES record last updated Oct 14, 2011
Key facts
- NPI
- 1124303722
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Metabolic Nutrition Registered Dietitian 133VN1006X
- License
- 843319 (NC)
- Legal business name
- HALIFAX COUNTY HEALTH DEPARTMENT
- Practice address
- 19 North Dobbs St.
Halifax, NC 27839-0010 - Phone
- (252) 583-5021
- Fax
- (252) 583-2975
- NPI assigned
- Oct 14, 2011
- Organization subpart
- No
Authorized official
- Name
- Barbara Harris Ellis, RN, MPA
- Title
- Health Director
- Phone
- (252) 583-5021
Corporate family (same tax ID) 3
Practitioners 6
-
Janice Tillery Myrick, RN NP-C
-
Elizabeth Boyd Odom, RD, LDN
-
Diane Rokita Pridgen, ACSW,LCSW
-
Solomon Shapiro, M.D.
National Provider Directory
- Tax ID family
- Riverstone Counseling a
Locations
19 Dobbs St
Halifax, NC 27839
Phone (252) 583-5021
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Metabolic Nutrition Registered Dietitian |
133VN1006X | 843319 | NC | Yes |
Addresses
Primary practice location
19 North Dobbs St.
Halifax, NC 27839-0010
Mailing address
PO Box 10
Halifax, NC 27839-0010
Phone (252) 583-5021
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07216 | Other | NC | BLUE CROSS BLUE SHIELD |
Other providers in Halifax, NC
- County of Halifax
- County of Halifax
- Halifax County Department of Social Services
- Halifax County Schools
- Life, Inc.
- Lighthouse Transportation LLC
- Janice Tillery Myrick
- Elizabeth Boyd Odom
All providers in Halifax, NC · Metabolic Nutrition Registered Dietitian in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 14, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.