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Contact Information

MARY D GAVIN, MS, RD, LDN
10915 SPARKLE CREEK DR
MIDLAND, NC28107-9542
 Phone: 843-509-5667
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Nutrition, Education

133NN1002X
 

Nutrition, Pediatric

133VN1004X 71 Registered Dietitian or Nutrition Professional
 

Nutritionist

133N00000X
Indicates primary specialty

NPI Profile & details for MARY D GAVIN · (Female)

NPI Number 1598965626
Status Active
Credentials MS, RD, LDN
Entity Individual
Enumeration date 07/18/2007
Last updated 10/23/2025 - About 7 months ago
Sole proprietor 1 Yes
Identifiers
  • NC License # L003052
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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