Mandi Irwin, RD, LDN | |
210 Hospital St, Mocksville, NC 27028-2039 | |
(336) 753-6750 | |
(336) 751-0335 |
Full Name | Mandi Irwin |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 210 Hospital St, Mocksville, 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 |
---|---|---|---|
1811409121 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | L003468 (North Carolina) | Primary |
Provider Name | Wake Forest University Health Sciences |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436 |
Mailing Address | Practice Location Address |
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Mandi Irwin, RD, LDN Po Box 848, Mocksville, NC 27028-0848 Ph: (336) 753-6750 | Mandi Irwin, RD, LDN 210 Hospital St, Mocksville, NC 27028-2039 Ph: (336) 753-6750 |
Ms. Cathy Manson, MED, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 277 Meroney St, Mocksville, NC 27028 Phone: 336-753-6178 Fax: 336-751-0335 | |
Kidney Nutrition Care Center Llc Dietitian Medicare: Medicare Enrolled Practice Location: 101 Wilkesboro St Ste A, Mocksville, NC 27028 Phone: 336-936-8169 Fax: 844-440-1999 | |
Mrs. Kathy Jones Crotts, MS, RD, LDN Dietitian Medicare: Medicare Enrolled Practice Location: 125 Tom Crotts Ln, Mocksville, NC 27028 Phone: 336-998-7364 |