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Individual

MARY GRAY HIXSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPH, RD, LDN

Contact information

Practice address
4207 LAKE BOONE TRL STE 100, RALEIGH, NC 27607-6685
(919) 784-7874
Mailing address
2800 BLUE RIDGE RD, SUITE 300, RALEIGH, NC 27607-6478
(919) 784-7874
(919) 784-2708

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
L003135
NC
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
Primary
L003135
NC

Other

Enumeration date
10/17/2008
Last updated
03/18/2021
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