Individual
JASON M O'BRIANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
901 N WINSTEAD AVE, ROCKY MOUNT, NC 27804-8467
(252) 937-0200
(252) 937-2903
Mailing address
901 N WINSTEAD AVE, ROCKY MOUNT, NC 27804-8467
(252) 937-0200
(252) 937-2903
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L003512
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00783059
RAILROAD MEDICARE
NC
Enumeration date
11/16/2009
Last updated
02/02/2011
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