Mozingo, Terri Lea

Mozingo, Terri Lea is an individual health care provider with primary practice located at 3240 Burnt Mill Dr Suite 1, Wilmington NC 28403-2576. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Mozingo, Terri Lea can be contacted via phone (910) 790-9500.

Contact Information

Primary practice address
3240 Burnt Mill Dr Suite 1 Wilmington NC 28403-2576
Fax: (910) 796-8111
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X L002681 North Carolina

Profile Details

NPI number 1295927572
LBN Legal business name Mozingo, Terri Lea
Credentials RD, LDN
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2007
Last updated Aug 7th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295927572 NPPES
North Dakota Other 161F3 BCBSNC

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