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Individual

CORETTA QUEEN CHAFFIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7940 WILLIAMS POND LN STE 150, CHARLOTTE, NC 28277-8409
(704) 247-8355
Mailing address
3717 OLD WAGON RD, CHARLOTTE, NC 28269-1994
(704) 562-5331

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
810909
NC

Other

Enumeration date
08/25/2020
Last updated
09/16/2020
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