Organization
MY DIABETES DIETITIAN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUDY E FISCHER RD, LDN, CDE (OWNER)
(704) 846-7105
Entity
Organization
Contact information
Practice address
119 S TRADE ST, STE 107, MATTHEWS, NC 28105-5767
(704) 846-7105
(704) 973-7732
Mailing address
12113 LANDEN DR, CHARLOTTE, NC 28277-4664
(704) 846-7105
(704) 973-7732
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
—
—
133VN1004X
Pediatric Nutrition Registered Dietitian
—
—
133VN1005X
Renal Nutrition Registered Dietitian
—
—
133VN1006X
Metabolic Nutrition Registered Dietitian
—
—
Other
Enumeration date
02/18/2009
Last updated
02/18/2009
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