Individual
HEATHER REBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LDN
Contact information
Practice address
3005 S MEMORIAL DR STE B, GREENVILLE, NC 27834-6224
(610) 952-1503
Mailing address
3005 S MEMORIAL DR STE B, GREENVILLE, NC 27834-6224
(252) 758-0721
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L005485
NC
Other
Enumeration date
08/01/2018
Last updated
08/01/2018
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