Provider Demographics
NPI:1326841123
Name:FOOD AS MEDICINE LLC
Entity type:Organization
Organization Name:FOOD AS MEDICINE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:MATEY
Authorized Official - Suffix:
Authorized Official - Credentials:MSHS, RDN, LDN
Authorized Official - Phone:704-330-0907
Mailing Address - Street 1:500 S MAIN ST STE 113
Mailing Address - Street 2:
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28115-3550
Mailing Address - Country:US
Mailing Address - Phone:704-893-4190
Mailing Address - Fax:704-893-4190
Practice Address - Street 1:500 S MAIN ST STE 113
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28115-3550
Practice Address - Country:US
Practice Address - Phone:704-893-4190
Practice Address - Fax:704-893-4190
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-28
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty