Individual
MICHELLE FAULKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
4614 COUNTRY CLUB RD, WINSTON SALEM, NC 27104-3520
(336) 713-0501
Mailing address
4614 COUNTRY CLUB RD, WINSTON SALEM, NC 27104-3520
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L005243
NC
Other
Enumeration date
08/15/2017
Last updated
03/17/2018
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