Individual
MR. TIMOTHY PATRICK SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, RD, LDN
Contact information
Practice address
630 DAVIDSON GATEWAY DRIVE, SUITE 150-I, DAVIDSON, NC 28036
(954) 803-8533
(704) 664-9075
Mailing address
207 MADELIA PLACE, MOORESVILLE, NC 28115
(954) 803-8533
(704) 664-9075
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L005214
NC
Other
Enumeration date
06/25/2017
Last updated
08/03/2022
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