Individual
MS. ELLEN SUSANNAH SOUTHERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD,LDN
Contact information
Practice address
590 MANNING DR, ROOM 103, CHAPEL HILL, NC 27599-6119
(919) 966-6875
Mailing address
211 FRIDAY CENTER DRIVE, HEDRICK BUILDING, SUITE 2091, ROOM 2102, CHAPEL HILL, NC 27517-9499
(984) 974-1186
(984) 974-1311
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L002429
NC
Other
Enumeration date
09/13/2006
Last updated
11/04/2014
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