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Individual

COURTNEY GILLIAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, RD, LDN, CSSD

Contact information

Practice address
3240 BURNT MILL DR, SUITE 1, WILMINGTON, NC 28403-2576
(910) 790-9500
Mailing address
3240 BURNT MILL DR, SUITE 1, WILMINGTON, NC 28403-2576
(910) 790-9500

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1031699
NC

Other

Enumeration date
02/21/2014
Last updated
04/19/2018
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