Individual
COURTNEY LOCKLEAR WOODSIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD LDN
Contact information
Practice address
17 PUMPKIN PL, DURHAM, NC 27703-6097
(910) 638-5266
Mailing address
17 PUMPKIN PL, DURHAM, NC 27703-6097
(910) 638-5266
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L004388
NC
Other
Enumeration date
03/13/2016
Last updated
03/13/2016
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