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Individual

MORGAN BANKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, RD, LDN

Contact information

Practice address
1 MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 713-3058
Mailing address
1870 CAHILL DR, WINSTON SALEM, NC 27127-8827
(919) 810-9333

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L005264
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
86091778
COMMISION ON DIETETICS REGISTRATION
01
L005264
NORTH CAROLINA BOARD OF DIETETICS/ NUTRITION
NC
Enumeration date
06/06/2019
Last updated
11/27/2023
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