Individual
MRS. GWYNETH MOORE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
2610 STANTONSBURG RD, GREENVILLE, NC 27834-2800
(252) 847-6501
Mailing address
3344B ELLSWORTH DR, GREENVILLE, NC 27834-4944
(252) 342-4448
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L004171
NC
Other
Enumeration date
07/17/2013
Last updated
08/19/2022
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