Mary Blackwell RDN

NPI 1013396985 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1013396985
Gender Female
Enumeration Date 05/26/2015
Last Updated 05/26/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
3700 TUCKER DR
GREENVILLE NC, 27858-6000, US
Phone (252) 757-1002
Fax
Business Location
PO BOX 2944
GREENVILLE NC, 27836-0944, US
Phone (252) 757-1002
Fax
Toxanomy
Taxonomy Code 133V00000X
License State North Carolina
License Number L001046
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According to our database, Mary Blackwell RDN NPI is 1013396985, taxonomy code is 133V00000X and license number is L001046, license state is located at North Carolina. Mary Blackwell RDN physically located at 3700 Tucker Dr, Greenville NC, 27858-6000. NPI Number Mary Blackwell RDN has the Individual type.

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1013396985 NPI number is provided on an as is basis without warranty of any kind. 1013396985 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Blackwell RDN are for informational purposes only.