Doctor Name: | MRS. JERRI GOLDSTON MAYBERRY |
NPI Number: | 1114163292 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.ED., R.D.,L.D.N. |
License Number: | L000423 |
Business Practice Address: | 118 Hamby Rd Dobson, NC - 270178471 |
Business Phone Number: | 3364018456 |
Business Fax Number: | 3364018468 |
Mailing Address: | 118 Hamby Rd, DOBSON |
State: | NC |
Postal Code: | 270178471 |
Phone Number: | 3364018456 |
Fax Number: | 3364018468 |
NPI Enumeration Date: | 12/19/2008 |
NPI Last Update Date: | 12/19/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | L000423 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |