Organization
DEBRA BENFIELD CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY MCGOWAN GREEN (OFFICE MANAGER)
(336) 978-7792
Entity
Organization
Contact information
Practice address
2422 REYNOLDA RD, WINSTON SALEM, NC 27106-4606
(336) 773-1443
(855) 275-2721
Mailing address
2422 REYNOLDA RD, WINSTON SALEM, NC 27106-4606
(336) 773-1443
(855) 275-2721
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
133V00000X
TAXONOMY CODE
—
01
—
L000741
LICENSE
NC
Enumeration date
10/24/2018
Last updated
10/24/2018
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