Individual
TIMOTHY CARR DEANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2401 CALVERT ST SW, SUPPLY, NC 28462-5621
(910) 625-6929
Mailing address
2401 CALVERT ST SW, SUPPLY, NC 28462-5621
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86108028
NC
Other
Enumeration date
03/17/2026
Last updated
03/17/2026
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