Individual
MADALYN QUINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
309 S SHARON AMITY RD STE 102, CHARLOTTE, NC 28211-2886
(704) 926-7546
Mailing address
309 S SHARON AMITY RD STE 102, CHARLOTTE, NC 28211-2886
(704) 942-6449
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L006096
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86109347
COMISSION ON DIETETIC REGISTRATION
NC
01
—
L006069
THE NORTH CAROLINA BOARD OF DIETETICS/NUTRITION
NC
Enumeration date
06/10/2020
Last updated
06/10/2020
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