Individual
MRS. ABIGAIL WEILAND NORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, MHS, PA-C
Contact information
Practice address
3000 NEW BERN AVE, RALEIGH, NC 27610-1231
(919) 350-8000
Mailing address
PO BOX 603949, CHARLOTTE, NC 28260-3949
(877) 498-4490
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
L003163
NC
363A00000X
Physician Assistant
Primary
0010-06068
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174847776
—
NC
Enumeration date
03/25/2010
Last updated
02/14/2023
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