Provider Demographics
NPI:1992507297
Name:TEAMWORK NUTRITION AND CONSULTING, LLC
Entity type:Organization
Organization Name:TEAMWORK NUTRITION AND CONSULTING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, FOUNDER
Authorized Official - Prefix:MR
Authorized Official - First Name:MURRAY
Authorized Official - Middle Name:KINCH
Authorized Official - Last Name:WOOD
Authorized Official - Suffix:
Authorized Official - Credentials:RDN
Authorized Official - Phone:804-721-4696
Mailing Address - Street 1:5213 MANDORA CT
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23237-2476
Mailing Address - Country:US
Mailing Address - Phone:804-721-4696
Mailing Address - Fax:
Practice Address - Street 1:5213 MANDORA CT
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23237-2476
Practice Address - Country:US
Practice Address - Phone:804-721-4696
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-26
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty