MEDICARE: MEGAN MCNAMARA 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	L005324	NC

General Provider Information

NPI Number	:	1699272518
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN MCNAMARA RD, LDN

Provider Business Mailing Address
First Line	:	1010 STURBRIDGE DR
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27713-8700
Country	:	US
Telephone Number	:	443-534-2492
Fax Number	:

Provider Business Practice Location Address
First Line	:	8801 FAST PARK DR STE 301
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27617-4853
Country	:	US
Telephone Number	:	984-329-2761
Fax Number	:

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

Provider Enumeration Date	:	04/08/2018
Last Update Date	:	09/10/2024

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