Provider Demographics
NPI:1063838589
Name:BOTTONE, FRANK G JR (PHD, RDN, LDN)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:G
Last Name:BOTTONE
Suffix:JR
Gender:M
Credentials:PHD, RDN, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 BAYLESS RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-7741
Mailing Address - Country:US
Mailing Address - Phone:919-378-1395
Mailing Address - Fax:
Practice Address - Street 1:120 BAYLESS RIDGE CT
Practice Address - Street 2:SUITE 101
Practice Address - City:MORRISVILLE
Practice Address - State:NC
Practice Address - Zip Code:27560-7741
Practice Address - Country:US
Practice Address - Phone:919-378-1395
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-07
Last Update Date:2014-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL003458133NN1002X, 133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education