Provider Demographics
NPI:1073118519
Name:MEYER, DREW C (RD, LDN)
Entity Type:Individual
Prefix:MR
First Name:DREW
Middle Name:C
Last Name:MEYER
Suffix:
Gender:M
Credentials:RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3820 SAINT LUCY DR
Mailing Address - Street 2:
Mailing Address - City:FRANKLINTON
Mailing Address - State:NC
Mailing Address - Zip Code:27525-7376
Mailing Address - Country:US
Mailing Address - Phone:626-590-7371
Mailing Address - Fax:
Practice Address - Street 1:176 LASSITER HOMESTEAD RD
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-6835
Practice Address - Country:US
Practice Address - Phone:919-864-1004
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-02
Last Update Date:2020-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL006113133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered