Individual
MS. SUSAN JANE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CDE
Contact information
Practice address
1041 NOELL LN, ST 101, ROCKY MOUNT, NC 27804-2058
(252) 446-6964
(252) 442-4531
Mailing address
2024 ASPEN CT, NASHVILLE, NC 27856
(919) 757-9921
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L002322
NC
Other
Enumeration date
08/16/2011
Last updated
01/03/2012
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