Individual
CAROL MARY MEDINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH, RD, LDN, CNSC
Contact information
Practice address
WAKEMED RALEIGH MEDICAL PARK, 23 SUNNYBROOK ROAD, SUITE 200, RALEIGH, NC 27610
(919) 235-6435
Mailing address
400 SCOTTS RIDGE TRL, APEX, NC 27502-6584
(919) 302-3648
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
L002778
NC
Other
Enumeration date
10/31/2018
Last updated
10/31/2018
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