Individual
SUSAN A FELLOWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
901 N WINSTEAD AVE, ROCKY MOUNT, NC 27804-8467
(252) 937-0200
(252) 443-0096
Mailing address
901 N WINSTEAD AVE, ROCKY MOUNT, NC 27804-8467
(252) 934-0200
(252) 443-0096
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L002536
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00165586
RAILROAD MEDICARE
NC
Enumeration date
09/07/2006
Last updated
08/27/2007
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