Meredith Johnson Ebersohl RD, LDN

NPI 1083006092 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1083006092
Gender Female
Enumeration Date 02/27/2015
Last Updated 02/27/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
3000 NEW BERN AVE
ENERGIZE PROGRAM
RALEIGH NC, 27610-1231, US
Phone (919) 618-4656
Fax
Business Location
3000 NEW BERN AVE
ENERGIZE PROGRAM
RALEIGH NC, 27610-1231, US
Phone (919) 618-4656
Fax
Toxanomy
Taxonomy Code 133V00000X
License State North Carolina
License Number L004569
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According to our database, Meredith Johnson Ebersohl RD, LDN NPI is 1083006092, taxonomy code is 133V00000X and license number is L004569, license state is located at North Carolina. Meredith Johnson Ebersohl RD, LDN physically located at 3000 New Bern Ave, Raleigh NC, 27610-1231. NPI Number Meredith Johnson Ebersohl RD, LDN has the Individual type.

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1083006092 NPI number is provided on an as is basis without warranty of any kind. 1083006092 is maintained by the National Plan & Provider Enumeration System. The contents of Meredith Johnson Ebersohl RD, LDN are for informational purposes only.