Individual
MR. PETER VINCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RD,LDN
Contact information
Practice address
2029 S 17TH ST, WILMINGTON, NC 28401-6600
(910) 798-6674
Mailing address
203 CENTRAL AVE, LAKE WACCAMAW, NC 28450-2107
(910) 232-0562
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
00954165
NC
Other
Enumeration date
08/21/2007
Last updated
08/21/2007
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