Individual
MRS. TERRI LEA MOZINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
3240 BURNT MILL DR, SUITE 1, WILMINGTON, NC 28403-2576
(910) 790-9500
(910) 796-8111
Mailing address
3240 BURNT MILL DR, SUITE 1, WILMINGTON, NC 28403-2576
(910) 790-9500
(910) 796-8111
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L002681
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
161F3
BCBSNC
ND
Enumeration date
08/10/2007
Last updated
08/07/2015
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