-- BROOKE SPROUSE BENTON -- MS RD LPN CDE
Individual Provider (NPI-1)
Active
Dietitian, Registered
Provider Information
- NPI Number
1568560027- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MS RD LPN CDE
- Status
- Active
Contact & Location
- Address
- 612 COLLEGE STREET, JACKSONVILLE, NC, 28540
- Phone
- (910) 347-2154
- Fax
- (910) 347-2789
Specialties & Taxonomies
Dietitian, Registered
Primary License: NC #L002187