Emma Joelle Surles, RD
Dietitian, Registered in Raleigh, NC. Individual provider (NPI-1).
NPI number1104667971
StatusActive
Last updated in NPPESJun 4, 2024
Details
- NPI
- 1104667971
- Entity type
- Individual (NPI-1)
- Name
- Emma Joelle Surles
- Credential
- RD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 4, 2024
- Certification date
- Jun 4, 2024
- Last updated
- Jun 4, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | L007810 | NC | Yes |
Practice location
8548 Quarton DrRaleigh, NC 27616-5597
Phone 919-802-3453
Mailing address
8548 Quarton DrRaleigh, NC 27616-5597
Phone 919-802-3453
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