Provider Demographics
NPI:1790987022
Name:DILLON, JULIE CHRISTINE (RD, NCC)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:CHRISTINE
Last Name:DILLON
Suffix:
Gender:F
Credentials:RD, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5509B W FRIENDLY AVE
Mailing Address - Street 2:SUITE 325
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-4270
Mailing Address - Country:US
Mailing Address - Phone:336-273-2808
Mailing Address - Fax:336-852-2595
Practice Address - Street 1:5509B W FRIENDLY AVE
Practice Address - Street 2:SUITE 325
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27410-4270
Practice Address - Country:US
Practice Address - Phone:336-273-2808
Practice Address - Fax:336-852-2595
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL001970133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered