Provider Demographics
NPI:1013191717
Name:THROWER, MARY BOYTER (MS, RD, LDN)
Entity Type:Individual
Prefix:MRS
First Name:MARY
Middle Name:BOYTER
Last Name:THROWER
Suffix:
Gender:F
Credentials:MS, RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:233 WIREGRASS RD
Mailing Address - Street 2:
Mailing Address - City:ROCKINGHAM
Mailing Address - State:NC
Mailing Address - Zip Code:28379-7634
Mailing Address - Country:US
Mailing Address - Phone:910-817-7016
Mailing Address - Fax:
Practice Address - Street 1:1000 W HAMLET AVE
Practice Address - Street 2:POST OFFICE BOX 1109
Practice Address - City:HAMLET
Practice Address - State:NC
Practice Address - Zip Code:28345-4522
Practice Address - Country:US
Practice Address - Phone:910-205-8122
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-18
Last Update Date:2007-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL003106133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered