Individual
DR. MARGERY REESE PEPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, RD
Contact information
Practice address
1613 S HANOVER ST, BALTIMORE, MD 21230-4420
(512) 799-2229
(410) 706-5090
Mailing address
1613 S HANOVER ST, BALTIMORE, MD 21230-4420
(512) 799-2229
(410) 706-5030
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
DT07730
TX
133V00000X
Registered Dietitian
Primary
DX3149
MD
133VN1004X
Pediatric Nutrition Registered Dietitian
DT07730
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
180921201
—
TX
Enumeration date
05/15/2007
Last updated
07/05/2011
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