Individual
ANDREW JAMES STILLWAGON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, RDN, LDN
Contact information
Practice address
3103 SHANNON RD, DURHAM, NC 27707-4336
(919) 865-3869
(866) 284-2848
Mailing address
3103 SHANNON RD, DURHAM, NC 27707-4336
(919) 865-3869
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L006974
NC
Other
Enumeration date
04/25/2024
Last updated
11/03/2025
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