Individual
MRS. ANDREA S MCCARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,RD,LD,CDE
Contact information
Practice address
1200 J D ANDERSON DR, MORGANTOWN, WV 26505-3494
(304) 598-1568
Mailing address
1200 J D ANDERSON DR, MORGANTOWN, WV 26505-3494
(301) 598-1568
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
452
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2222-0215
CDE
—
01
—
887052
CDR LIC NUMBER
WV
Enumeration date
02/20/2007
Last updated
04/20/2020
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