Individual
BRYNN MEDLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 S MAIN ST STE 113, MOORESVILLE, NC 28115-3550
(704) 893-4190
Mailing address
5730 CLOSEBURN RD APT H, CHARLOTTE, NC 28210-3039
(847) 525-5425
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/30/2025
Last updated
01/30/2025
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