Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mary M Black

Individual provider Registered Dietitian · NPI 1407855034

Mary M Black is a Registered Dietitian in Lumberton, North Carolina. Licensed in North Carolina. Registered with an NPI since 2005.

Licensed in
NC
In the registry since
2005

Practice location Address checks out

4300 Fayetteville Rd
Lumberton, NC 28358-2677
Phone: (910) 671-5830
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence L000588 (NC)

Record details

NPI number1407855034
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 15, 2005
Last updated in NPPESJuly 13, 2026
Mailing address300 W 27th St, Attn: William J Gutekunst, Lumberton, NC 28358-3075

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