Organization
MSC NUTRITION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE MICHELLE CONTEH RD (PROVIDER)
(919) 210-8497
Entity
Organization
Contact information
Practice address
3419 HILLSBOROUGH RD, DURHAM, NC 27705-3008
(919) 210-8497
Mailing address
PO BOX 2727, DURHAM, NC 27715-2727
(919) 210-8497
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L003011
REGISTERED DIETITIAN
—
01
—
L006292
REGISTERED DIETITIAN
—
Enumeration date
07/25/2021
Last updated
07/25/2021
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