Individual
STACEY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2702 OXBOROUGH DR, MATTHEWS, NC 28105-8852
(816) 797-6113
Mailing address
2702 OXBOROUGH DR, MATTHEWS, NC 28105-8852
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L003146
NC
Other
Enumeration date
05/18/2026
Last updated
05/18/2026
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