Individual
SUE WIMBISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
245 CHARLOIS BLVD, WINSTON SALEM, NC 27103-1507
(336) 659-4777
(336) 659-4798
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(336) 659-4777
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L004832
NC
Other
Enumeration date
03/16/2017
Last updated
03/16/2017
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