Provider Demographics
NPI:1730522749
Name:EURY, JOYCE P (RD, LDN)
Entity type:Individual
Prefix:MS
First Name:JOYCE
Middle Name:P
Last Name:EURY
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 60447
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-0447
Mailing Address - Country:US
Mailing Address - Phone:704-384-7840
Mailing Address - Fax:
Practice Address - Street 1:1710 KERNERSVILLE MEDICAL PKWY
Practice Address - Street 2:SUITE 210
Practice Address - City:KERNERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:27284-7155
Practice Address - Country:US
Practice Address - Phone:336-564-4065
Practice Address - Fax:336-564-4068
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-09
Last Update Date:2024-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL004089133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered