Individual
BONNIE C WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1821 MARTIN LUTHER KING PKWY, DURHAM, NC 27707-6336
(919) 748-4990
Mailing address
2000 PERIMETER PARK DR, MORRISVILLE, NC 27560-0198
(984) 215-4000
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L005078
NC
Other
Enumeration date
05/13/2016
Last updated
04/15/2019
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