Healthcare Provider Details

I. General information

NPI: 1912687237
Provider Name (Legal Business Name): MARGARET RACINE RD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MARGARET TAYLOR RD

II. Dates (important events)

Enumeration Date: 07/21/2023
Last Update Date: 06/19/2026
Certification Date: 06/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

876 TIMBER DR
GARNER NC
27529-4850
US

IV. Provider business mailing address

4705 UNIVERSITY DR BLDG 700
DURHAM NC
27707-3489
US

V. Phone/Fax

Practice location:
  • Phone: 919-803-2285
  • Fax: 919-803-2318
Mailing address:
  • Phone: 919-237-1337
  • Fax: 919-237-1625

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License NumberL007463
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: