Facts
- Status
- A
- Credential
- RD, LDN
- Type
- Individual
- Enumeration date
- 2010-07-20
- Last updated
- 2016-12-13
Specialties
Licenses
- License NC
- L003646
Location
- Practice location
- 98 DOCTORS DR STE 200
- City
- SYLVA NC
- Postal code
- 287794502
- Phone
- 828-586-8971
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
The OIG NPI list is not in this build yet. Confirm on OIG's search.
Nearby
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.