Individual
MRS. CAROL WEAVER JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS. RDN, LDN
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
L001229
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1434P
PROVIDER NUMBER
NC
Enumeration date
03/05/2007
Last updated
02/12/2025
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