Provider Demographics
NPI:1982817714
Name:WONG, TOY MAY (MA, RD)
Entity Type:Individual
Prefix:MS
First Name:TOY
Middle Name:MAY
Last Name:WONG
Suffix:
Gender:F
Credentials:MA, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:307 WOODBURN CREEK RD
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29302-4280
Mailing Address - Country:US
Mailing Address - Phone:864-542-0789
Mailing Address - Fax:
Practice Address - Street 1:307 WOODBURN CREEK RD
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29302-4280
Practice Address - Country:US
Practice Address - Phone:864-542-0789
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered