Individual
LINDA GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD,LDN
Contact information
Practice address
4917 GOLFVIEW CT, MINT HILL, NC 28227-9238
(704) 451-1597
Mailing address
4917 GOLFVIEW CT, MINT HILL, NC 28227-9238
(704) 451-1597
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
L001092
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L001092
STATE LICENSURE
NC
Enumeration date
08/09/2016
Last updated
08/09/2016
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