Provider Demographics
NPI:1760700751
Name:TCP NUTRITION MANAGEMENT, INC.
Entity Type:Organization
Organization Name:TCP NUTRITION MANAGEMENT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:TONYA
Authorized Official - Middle Name:CARTER
Authorized Official - Last Name:PRICE
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:434-238-0900
Mailing Address - Street 1:2225 LAKESIDE DR
Mailing Address - Street 2:SUITE C
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24501-6750
Mailing Address - Country:US
Mailing Address - Phone:434-238-0900
Mailing Address - Fax:434-316-6115
Practice Address - Street 1:2225 LAKESIDE DR
Practice Address - Street 2:SUITE C
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24501-6750
Practice Address - Country:US
Practice Address - Phone:434-238-0900
Practice Address - Fax:434-316-6115
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-14
Last Update Date:2010-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center