Individual provider · Type 1 NPI

Mary M. Black

Registered Dietitian · Lumberton, NC

NPI number 1407855034 Active

Practice location

4300 Fayetteville Rd
Lumberton, NC 28358-2677

Mailing address

300 W 27th St, Attn: William J Gutekunst
Lumberton, NC 28358-3075

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000XL000588 (NC)

Registered Dietitian: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…

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About NPI 1407855034

Mary M. Black's National Provider Identifier is 1407855034, issued on Jul 15, 2005. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Lumberton, NC. The record was last updated on Jul 13, 2026.