| Charlene Maria Chan, RD | |
|
1509 Doctors Cir, Wilmington, NC 28401-7403 | |
| (910) 662-7500 | |
| Not Available |
| Full Name | Charlene Maria Chan |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 1509 Doctors Cir, Wilmington, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083306674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | L004739 (North Carolina) | Primary |
| Provider Name | Novant Health Medical Group Coastal Region LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1649865791 PECOS PAC ID: 2860809936 Enrollment ID: O20210408000285 |
| Mailing Address | Practice Location Address |
|---|---|
| Charlene Maria Chan, RD 2131 S 17th St, Wilmington, NC 28401-7407 Ph: Not Available | Charlene Maria Chan, RD 1509 Doctors Cir, Wilmington, NC 28401-7403 Ph: (910) 662-7500 |
Paige Hoesing, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2517 Delaney Ave, Wilmington, NC 28403 Phone: 910-239-3562 |
Sabrina Russo, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3240 Burnt Mill Dr Ste 1, Wilmington, NC 28403 Phone: 910-790-9500 Fax: 910-796-8111 |
Ana Elisabeth Zeller, RD Dietitian Medicare: Medicare Enrolled Practice Location: 2103 S Churchill Dr, Wilmington, NC 28403 Phone: 910-622-5083 |
Julia Greenwood, RDN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1133 Medical Center Dr, Wilmington, NC 28401 Phone: 910-239-3562 |
Jonelle Addabbo, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1505 Medical Center Dr, Wilmington, NC 28401 Phone: 910-239-3562 Fax: 877-889-2993 |
Mckenna Stevenson, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6941 Lipscomb Dr, Wilmington, NC 28412 Phone: 919-327-7352 |
Mrs. Tara Michelle Eichert, RD, CNSC, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 720 Saint James Dr, Wilmington, NC 28403 Phone: 910-660-8200 |