Individual
MICHELLE HERWIG MUSSELWHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
612 MOCKSVILLE AVE, SALISBURY, NC 28144-2732
(704) 210-5261
Mailing address
2085 FRONTIS PLAZA BOULEVARD, WINSTON-SALEM, NC 27103
(336) 277-1065
(336) 277-9274
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L001234
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
710000660
RR MEDICARE
NC
Enumeration date
07/17/2006
Last updated
01/25/2010
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