Individual
ASHLEY GREEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
300 W 27TH ST, LUMBERTON, NC 28358-3075
(910) 671-5000
Mailing address
67 DESTINY LN, WHITEVILLE, NC 28472-2061
(910) 391-5693
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L005805
NC
Other
Enumeration date
04/16/2021
Last updated
04/16/2021
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