Individual
MRS. PERRI POTTER GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
433 MCALISTER RD, LINCOLNTON, NC 28092-4147
(980) 212-6035
Mailing address
PO BOX 677, LINCOLNTON, NC 28093-0677
(980) 212-6035
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86098767
NC
Other
Enumeration date
07/31/2019
Last updated
07/31/2019
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