Individual
PRESTON WAYNE STEPHENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDN, LDN
Contact information
Practice address
18 OAK BRANCH DR STE C, GREENSBORO, NC 27407-2444
(336) 579-2312
(336) 579-2365
Mailing address
PO BOX 604050, CHARLOTTE, NC 28260-4050
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LOO5646
NC
Other
Enumeration date
03/08/2019
Last updated
08/19/2021
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