Mary M Black
NPI #1407855034 in Lumberton, North Carolina
Provider Information
- NPI Number
- 1407855034
- Entity Type
- Individual
- Name
- Mary M Black
- Gender
- Not Specified
- Sole Proprietor
- Not Answered
- Primary Specialty
- Dietitian, Registered
- Enumeration Date
- Jul 15, 2005
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 4300 FAYETTEVILLE RD
- City
- Lumberton
- State
- North Carolina
- ZIP Code
- 28358-2677
- Phone
- (910) 671-5830
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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