Individual
MS. DIANA M. MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPH, RD, LDN, CLC
Contact information
Practice address
10 PARKER LN, SUITE 1, PINEHURST, NC 28374-7903
(910) 295-3133
(910) 295-2723
Mailing address
306 CROSS ST, SANFORD, NC 27330-3818
(919) 776-0324
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
L002904
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3403400
—
NC
Enumeration date
04/02/2007
Last updated
07/09/2007
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