Individual
PATRICIA CHERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LDN
Contact information
Practice address
660 SUMMIT CROSSING PL, SUITE #306, GASTONIA, NC 28054-2104
(704) 671-7830
Mailing address
1316 MIDWOOD DR, GASTONIA, NC 28052-5255
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
L000742
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00207
BLUE CROSS
NC
01
—
0067840
AETNA
NC
01
—
0590625010
CIGNA
NC
01
—
312280
FEDERAL BLACK LUNG
NC
05
—
3400032
—
NC
01
—
3697
WELLPATH
NC
05
—
460595
—
NC
01
—
5040770
UNITED HEALTHCARE
NC
Enumeration date
11/30/2005
Last updated
08/29/2007
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