Individual
REILLY BEATTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CSSD
Contact information
Practice address
728 SURREY PATH TRL, WINSTON SALEM, NC 27104-5035
(424) 346-3037
(310) 915-0100
Mailing address
728 SURREY PATH TRL, WINSTON SALEM, NC 27104-5035
(424) 346-3037
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L008407
NC
133V00000X
Registered Dietitian
Primary
—
CA
Other
Enumeration date
01/26/2019
Last updated
01/20/2026
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