Individual
MR. WILSON ANDREW HARRIS III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, RDN, CSSD, LDN
Contact information
Practice address
1050 JABARA AVE, SEYMOUR JOHNSON A F B, NC 27531-2310
(919) 722-0407
Mailing address
1050 JABARA AVE, SEYMOUR JOHNSON A F B, NC 27531-2310
(919) 722-0407
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1992
TN
133V00000X
Registered Dietitian
L002576
NC
Other
Enumeration date
01/11/2016
Last updated
02/28/2025
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