Individual
MRS. KATHERINE BUSKER GIBBONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., R.D.N., L.D.N.
Contact information
Practice address
7940 WILLIAMS POND LN STE 150, CHARLOTTE, NC 28277-8409
(704) 752-7779
Mailing address
7940 WILLIAMS POND LN STE 150, CHARLOTTE, NC 28277-8409
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86101326
NC
Other
Enumeration date
09/24/2018
Last updated
09/24/2018
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