Provider Demographics
NPI:1194580332
Name:DOVE, MEGAN (RD, LDN)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:DOVE
Suffix:
Gender:
Credentials:RD, LDN
Other - Prefix:
Other - First Name:MEGAN
Other - Middle Name:
Other - Last Name:GLEESPEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD, LDN
Mailing Address - Street 1:1905 GARDEN CITY CT
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27604-5856
Mailing Address - Country:US
Mailing Address - Phone:252-292-4570
Mailing Address - Fax:
Practice Address - Street 1:4024 STIRRUP CREEK DR
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27703-9464
Practice Address - Country:US
Practice Address - Phone:919-908-9730
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-16
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL007536133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered