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Individual

GRACE REGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD, LDN

Contact information

Practice address
1 MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 713-3047
Mailing address
1 MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86292715

Other

Enumeration date
07/18/2025
Last updated
07/18/2025
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