Individual
REBECCA PETTIGREW ZIDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, LDN
Contact information
Practice address
322 MAIN ST, PROSPECT HILL, NC 27314-9438
(336) 562-3311
Mailing address
322 MAIN ST, PROSPECT HILL, NC 27314-9438
(336) 562-3311
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L007312
NC
Other
Enumeration date
01/31/2025
Last updated
01/31/2025
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