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Individual

MAMIE W BYRD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD, LDN

Contact information

Practice address
15 NOBLE ST, SMITHFIELD, NC 27577-9300
(919) 322-9337
Mailing address
19 ARIEL CT, CLAYTON, NC 27520-4433
(919) 550-5674

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
D1273
DC
133V00000X
Registered Dietitian
Primary
L003168
NC

Other

Enumeration date
08/14/2012
Last updated
08/14/2012
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