Provider Demographics
NPI:1932643517
Name:BROWN, MEGHAN (MHS, RD, LDN)
Entity Type:Individual
Prefix:
First Name:MEGHAN
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:MHS, RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 CHARLES ROLLINS RD
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NC
Mailing Address - Zip Code:27536-2946
Mailing Address - Country:US
Mailing Address - Phone:252-492-7915
Mailing Address - Fax:252-492-4219
Practice Address - Street 1:115 CHARLES ROLLINS RD
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NC
Practice Address - Zip Code:27536-2946
Practice Address - Country:US
Practice Address - Phone:252-492-7915
Practice Address - Fax:252-492-4219
Is Sole Proprietor?:No
Enumeration Date:2016-12-15
Last Update Date:2016-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL004279133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered