Most Relevant Information
Provider Data
| NPI Number: | 1003240029 |
| Provider Name: | CARISSA SHOWERS RD |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | 1039861 |
Most Important Dates
| Enumeration Date: | 08/27/2013 |
| Last Updated: | 01/25/2016 |
Provider Practice Location
1425 S GLENBURNIE RD
STE 7
NEW BERN
NC
285622626
Practice Location Phone/Fax
| Phone: | 2526315222 |
| Fax: |
Provider Mailing Location
554 HAW BRANCH RD
RICHLANDS
NC
285747228
Provider Mailing Phone/Fax
| Phone: | 4406708383 |
| Fax: |