Individual
MS. MARY SUSAN GREGORY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
118 HAMBY RD, DOBSON, NC 27017-8471
(336) 401-8455
Mailing address
148 CEDAR KNOLL DR, MOUNT AIRY, NC 27030-7792
(336) 789-3016
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L000989
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3404481
—
NC
Enumeration date
05/03/2006
Last updated
07/09/2007
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