Individual
SUSAN BEALL BLOMELEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
538 FOLK SCHOOL RD, BRASSTOWN, NC 28902-8056
(828) 837-3253
Mailing address
538 FOLK SCHOOL RD, BRASSTOWN, NC 28902-8056
(828) 837-3253
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L001351
NC
133V00000X
Registered Dietitian
LD002795
GA
133V00000X
Registered Dietitian
LDN0000001552
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140YU
BLUE CROSS BLUE SHIELD NC
NC
Enumeration date
05/08/2006
Last updated
07/08/2007
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