Individual
MRS. ANNETTE HABECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
6135 PARK SOUTH DR, CHARLOTTE, NC 28210-3272
(407) 408-7242
Mailing address
6135 PARK SOUTH DR, CHARLOTTE, NC 28210-3272
(407) 408-7242
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
1312
SC
133V00000X
Registered Dietitian
Primary
L003989
NC
Other
Enumeration date
10/24/2012
Last updated
03/07/2016
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