Mr Wilson Andrew Harris Iii, MS, RDN, CSSD, LDN | |
1050 Jabara Ave, Seymour Johnson A F B, NC 27531-2310 | |
(919) 722-0407 | |
Not Available |
Full Name | Mr Wilson Andrew Harris Iii |
---|---|
Gender | Male |
Speciality | Dietitian, Registered |
Location | 1050 Jabara Ave, Seymour Johnson A F B, North Carolina |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659737419 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | L002576 (North Carolina) | Secondary |
133V00000X | Dietitian, Registered | 1992 (Tennessee) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Wilson Andrew Harris Iii, MS, RDN, CSSD, LDN 1050 Jabara Ave, Seymour Johnson A F B, NC 27531-2310 Ph: (919) 722-0407 | Mr Wilson Andrew Harris Iii, MS, RDN, CSSD, LDN 1050 Jabara Ave, Seymour Johnson A F B, NC 27531-2310 Ph: (919) 722-0407 |
Miss Tiffany Moore Brassard, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1050 Jabarrah Ave, Seymour Johnson A F B, NC 27531 Phone: 919-722-1822 Fax: 919-722-1952 |