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Organization
NUTRITION COUNSELING SERVICES LLC
Active
Organization
NUTRITION COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROL WEAVER JOHNSON MS, RD, LDN (OWNER/REGISTERED DIETITIAN)
(704) 692-7727
Entity
Organization
Contact information
Practice address
103 SPURGEN DR, KINGS MOUNTAIN, NC 28086-7808
(704) 692-7727
Mailing address
103 SPURGEN DR, KINGS MOUNTAIN, NC 28086-7808
(704) 692-7727
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1434P
BCBS PROVIDER NUMBER
NC
Enumeration date
12/23/2010
Last updated
06/19/2019
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