| Mandi Irwin, RD, LDN | |
|
210 Hospital St, Mocksville, NC 27028-2039 | |
| (336) 753-6750 | |
| (336) 751-0335 |
| Full Name | Mandi Irwin |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 210 Hospital St, Mocksville, 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 |
|---|---|---|---|
| 1811409121 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | L003468 (North Carolina) | Primary |
| Provider Name | Wake Forest University Health Sciences |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436 |
| Mailing Address | Practice Location Address |
|---|---|
| Mandi Irwin, RD, LDN Po Box 848, Mocksville, NC 27028-0848 Ph: (336) 753-6750 | Mandi Irwin, RD, LDN 210 Hospital St, Mocksville, NC 27028-2039 Ph: (336) 753-6750 |
Ms. Cathy Manson, MED, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 277 Meroney St, Mocksville, NC 27028 Phone: 336-753-6178 Fax: 336-751-0335 | |
Kidney Nutrition Care Center Llc Dietitian Medicare: Medicare Enrolled Practice Location: 101 Wilkesboro St Ste A, Mocksville, NC 27028 Phone: 336-936-8169 Fax: 844-440-1999 | |
Mrs. Kathy Jones Crotts, MS, RD, LDN Dietitian Medicare: Medicare Enrolled Practice Location: 125 Tom Crotts Ln, Mocksville, NC 27028 Phone: 336-998-7364 |