Individual
MISS SHANNON TRACY GUTHRIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
225 BRIDGEWATER DR, BEAUFORT, NC 28516-1650
(252) 269-4198
Mailing address
225 BRIDGEWATER DR, BEAUFORT, NC 28516-1650
(252) 269-4198
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L002980
NC
Other
Enumeration date
12/08/2006
Last updated
02/21/2019
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