Individual
DYLAN SHANE RUDISILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD
Contact information
Practice address
500 PINEVIEW DR STE 205, KERNERSVILLE, NC 27284-3814
(336) 329-3295
Mailing address
501 N MAIN ST, SALISBURY, NC 28144-4303
(800) 905-3261
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86074420
—
Other
Enumeration date
03/22/2021
Last updated
04/02/2021
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