Individual
HEATHER AUDRA EADS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
600 MOYE BLVD, GREENVILLE, NC 27834-4300
(252) 744-1959
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L005018
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
205RZ
BCBS OF NC
NC
01
—
Q65809A
MEDICARE
NC
Enumeration date
09/22/2019
Last updated
11/26/2024
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