Organization
FREELY FED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADISON ROWAN RD (REGISTERED DIETITIAN)
(276) 206-5408
Entity
Organization
Contact information
Practice address
1532 WICKERBY CT, MATTHEWS, NC 28105-0322
(276) 206-5408
Mailing address
1532 WICKERBY CT, MATTHEWS, NC 28105-0322
(276) 206-5408
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
11/04/2020
Last updated
11/04/2020
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