Individual
BEVERLY GORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
307 W CORNELIUS HARNETT BLVD, LILLINGTON, NC 27546-9335
(910) 814-6240
(910) 893-9429
Mailing address
307 W CORNELIUS HARNETT BLVD, LILLINGTON, NC 27546-9335
(910) 814-6240
(910) 893-9429
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
—
—
133VN1004X
Pediatric Nutrition Registered Dietitian
—
—
133VN1006X
Metabolic Nutrition Registered Dietitian
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07212
BCBS
NC
01
—
155383938
TRICARE
NC
01
—
183296
MEDCOST
NC
01
—
34D0864770
CLIA
NC
05
—
NC3404343
—
NC
Enumeration date
04/21/2011
Last updated
04/21/2011
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