MEDICARE: MRS. ABIGAIL MEYER NEUROH MS, RD, LDN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	L004069	NC

General Provider Information

NPI Number	:	1881161552
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ABIGAIL MEYER NEUROH MS, RD, LDN

Provider Business Mailing Address
First Line	:	8001 REMINGTON HEIGHTS DR
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27616-9313
Country	:	US
Telephone Number	:	336-661-5162
Fax Number	:

Provider Business Practice Location Address
First Line	:	8801 FAST PARK DR STE 211
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27617-4853
Country	:	US
Telephone Number	:	336-661-5162
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/31/2018
Last Update Date	:	10/31/2018

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