Individual
MRS. DEBORAH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., L.D.N.
Contact information
Practice address
901 N WINSTEAD AVE, ROCKY MOUNT, NC 27804-8467
(252) 937-0262
(252) 937-0445
Mailing address
503 TRADE ST, TARBORO, NC 27886-4321
(252) 824-7657
(252) 824-1479
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L002423
NC
Other
Enumeration date
10/22/2007
Last updated
10/07/2008
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