DANIEL PEGRAM

CHARLOTTE, NC
NPI1154961779
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence:   86074561)
Enumeration Date2020-01-11
Last Update Date2020-01-11
Business Address
DANIEL PEGRAM RD
10400 MALLARD CREEK RD STE 340
CHARLOTTE, NC 28262-5203
Phone number: 704-549-9550
Mailing Address
DANIEL PEGRAM RD
3412 VALLEY RD
WINSTON SALEM, NC 27106-2529
Phone number: 405-648-2121
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