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Organization
CENTRALINA COUNCIL OF GOVERNMENTS AREA AGENCY ON AGING
Active
Organization
CENTRALINA COUNCIL OF GOVERNMENTS AREA AGENCY ON AGING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALDINE GARDNER (EXECUTIVE DIRECTOR)
(704) 351-7130
Entity
Organization
Contact information
Practice address
9815 DAVID TAYLOR DR STE 100, CHARLOTTE, NC 28262-2358
(704) 385-4789
(704) 347-4710
Mailing address
9815 DAVID TAYLOR DR STE 100, CHARLOTTE, NC 28262-2358
(704) 385-4789
(704) 347-4710
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
174H00000X
Health Educator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14505743
CAQH
—
Enumeration date
08/02/2013
Last updated
10/27/2021
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