Basic Information
Provider Information
NPI: 1053372797
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DELLINGER
FirstName: MARGARET
MiddleName: ANN
NamePrefix: MRS.
NameSuffix:  
Credential: RD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 87 RAY HILL RD
Address2:  
City: HORSE SHOE
State: NC
PostalCode: 287428738
CountryCode: US
TelephoneNumber: 8288914168
FaxNumber:  
Practice Location
Address1: 1100 TUNNEL RD
Address2:  
City: ASHEVILLE
State: NC
PostalCode: 288052043
CountryCode: US
TelephoneNumber: 8282987911
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/31/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: X
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
133V00000XL000395NCY Dietary & Nutritional Service ProvidersDietitian, Registered 

No ID Information.


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