Individual
JAMA C WHITEHURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
901 N WINSTEAD AVE, ROCKY MOUNT, NC 27804-8467
(252) 937-0200
(252) 937-0445
Mailing address
901 N WINSTEAD AVE, ROCKY MOUNT, NC 27804-8467
(252) 937-0200
(252) 937-0445
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L001899
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
710000727
RAILROAD MEDICARE
NC
Enumeration date
09/07/2006
Last updated
10/07/2008
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