Individual
MANDI IRWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
210 HOSPITAL ST, MOCKSVILLE, NC 27028-2039
(336) 753-6750
(336) 751-0335
Mailing address
PO BOX 848, MOCKSVILLE, NC 27028-0848
(336) 753-6750
(336) 751-0335
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L003468
NC
Other
Enumeration date
10/26/2017
Last updated
10/26/2017
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