Individual
JESSY PHILIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD,RD,LDN
Contact information
Practice address
107 KEEVER ST, LINCOLNTON, NC 28092-8362
(704) 345-8729
(704) 732-0811
Mailing address
107 KEEVER ST, LINCOLNTON, NC 28092-8362
(704) 345-8729
(704) 732-0811
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L002589
NC
Other
Enumeration date
08/16/2007
Last updated
08/16/2007
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