Individual
MRS. REBECCA SUBBIAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
2422 REYNOLDA RD, WINSTON SALEM, NC 27106-4606
(336) 773-1443
(855) 275-2721
Mailing address
2422 REYNOLDA RD, WINSTON SALEM, NC 27106-4606
(336) 773-1443
(336) 855-2752
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L002650
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1412H
BCBS OF NC
NC
Enumeration date
06/11/2006
Last updated
11/29/2018
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