| William Charles Jordan Mauk, RD, LDN | |
|
2610 Stantonsburg Rd, Greenville, NC 27834-2800 | |
| (252) 847-9908 | |
| Not Available |
| Full Name | William Charles Jordan Mauk |
|---|---|
| Gender | Male |
| Speciality | Dietitian, Registered |
| Location | 2610 Stantonsburg Rd, Greenville, 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 |
|---|---|---|---|
| 1386216919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | L006953 (North Carolina) | Primary |
| Provider Name | Wd Recovery And Wellness Center, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1669986998 PECOS PAC ID: 5698019248 Enrollment ID: O20191114001371 |
| Mailing Address | Practice Location Address |
|---|---|
| William Charles Jordan Mauk, RD, LDN 2610 Stantonsburg Rd, Greenville, NC 27834-2800 Ph: (252) 847-9908 | William Charles Jordan Mauk, RD, LDN 2610 Stantonsburg Rd, Greenville, NC 27834-2800 Ph: (252) 847-9908 |
Mary Blackwell, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3700 Tucker Dr, Greenville, NC 27858 Phone: 252-757-1002 | |
Kelli Starr Oldham, Dietitian Medicare: Medicare Enrolled Practice Location: 517 Moye Blvd, Greenville, NC 27834 Phone: 252-744-2393 Fax: 252-744-0013 | |
Natalie Alison Taft, MS, RD, LDN Dietitian Medicare: Medicare Enrolled Practice Location: 2150 Herbert Ct, Greenville, NC 27834 Phone: 252-744-5437 Fax: 252-744-1514 | |
Mrs. Sharon Leigh Lewis-hackler, MS, RD, LDN, LD, CDE Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1540 E Arlington Blvd, Greenville, NC 27858 Phone: 252-364-2806 Fax: 252-364-2863 | |
Colleen Soles Bucher, RDN LDN Dietitian Medicare: Medicare Enrolled Practice Location: 517 Moye Blvd, Greenville, NC 27834 Phone: 252-744-5238 | |
Ms. Stacie Markel, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 505 Greenville Blvd Se, Greenville, NC 27858 Phone: 252-355-0000 Fax: 252-355-2777 | |
Mrs. Patrice Lafollette Atencio, M.ED., RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 600 Moye Blvd, Greenville, NC 27834 Phone: 252-744-2350 Fax: 252-744-5348 |