Individual
MRS. MELISSA JOHNSON MOSES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
3325 SILAS CREEK PKWY, WINSTON SALEM, NC 27103-3013
(336) 713-7429
(336) 713-7842
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-0238
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L003876
NC
133VN1004X
Pediatric Nutrition Registered Dietitian
L003876
NC
Other
Enumeration date
08/04/2016
Last updated
10/07/2022
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