Individual
MEGAN CANAVERA BIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
2300 RAMSEY ST, HOME BASED PRIMARY CARE, FAYETTEVILLE, NC 28301-3856
(910) 488-2120
(910) 482-5040
Mailing address
37 ABIGAIL WAY, CAMERON, NC 28326-6231
(502) 322-4700
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
5597
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
951675
CDR REGISTRATION
—
Enumeration date
08/21/2006
Last updated
09/02/2010
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