Provider Demographics
NPI:1467040725
Name:ALBRIGHT, MEREDITH RHODES
Entity Type:Individual
Prefix:
First Name:MEREDITH
Middle Name:RHODES
Last Name:ALBRIGHT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1007 CAPTAIN ADKINS DR SE
Mailing Address - Street 2:
Mailing Address - City:SOUTHPORT
Mailing Address - State:NC
Mailing Address - Zip Code:28461-2660
Mailing Address - Country:US
Mailing Address - Phone:910-471-7890
Mailing Address - Fax:
Practice Address - Street 1:3612 SHANNON RD STE 103
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-6333
Practice Address - Country:US
Practice Address - Phone:919-870-1001
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-04
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
133V00000X
NCL006149136A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes136A00000XDietary & Nutritional Service ProvidersDietetic Technician, Registered
No133V00000XDietary & Nutritional Service ProvidersDietitian, Registered