| Charlotte Bell Jackson, MPH, RD, LDN | |
|
231 N Judd Pkwy Ne, Fuquay Varina, NC 27526-2694 | |
| (919) 235-6410 | |
| Not Available |
| Full Name | Charlotte Bell Jackson |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 231 N Judd Pkwy Ne, Fuquay Varina, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003143777 | NPI | - | NPPES |
| 1003143777 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | L002494 (North Carolina) | Primary |
| Provider Name | Wake Specialty Physicians Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1942440375 PECOS PAC ID: 7416006085 Enrollment ID: O20090601000520 |
| Provider Name | Wakemed Specialists Group Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1588227839 PECOS PAC ID: 2466788377 Enrollment ID: O20190731000815 |
| Mailing Address | Practice Location Address |
|---|---|
| Charlotte Bell Jackson, MPH, RD, LDN Po Box 602195, Charlotte, NC 28260-2195 Ph: (919) 350-0351 | Charlotte Bell Jackson, MPH, RD, LDN 231 N Judd Pkwy Ne, Fuquay Varina, NC 27526-2694 Ph: (919) 235-6410 |
Michael Raynor, MS, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1441 E Broad St Ste 256, Fuquay Varina, NC 27526 Phone: 919-741-0730 | |
Clubworx Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 100 Fitness Dr, Fuquay Varina, NC 27526 Phone: 919-567-3400 Fax: 919-567-3400 | |
Raynor Strength And Nutrition, Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1441 E Broad St Ste 256, Fuquay Varina, NC 27526 Phone: 919-741-0730 | |
Sara Bonczewski Winterbottom, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1617 N Main St Ste 100, Fuquay Varina, NC 27526 Phone: 919-577-9952 Fax: 919-577-9946 | |
Mrs. Allisa Gladys Pellegrino, MS, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 306 Hawthorne View Ct, Fuquay Varina, NC 27526 Phone: 401-338-8704 | |
Samantha Torchia, RD LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2317 Stoneborough Ct, Fuquay Varina, NC 27526 Phone: 845-235-2201 |