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Individual

GRACE ANNE MAMMES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LDN. RD

Contact information

Practice address
8100 OLD MALLARD CREEK RD, CHARLOTTE, NC 28262-2238
(704) 716-6700
Mailing address
172 WILLIAMSON RD UNIT 5205, MOORESVILLE, NC 28117-5000
(704) 562-8373
(704) 680-6672

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
86049634
NC
133V00000X
Registered Dietitian
Primary
L005564
NC

Other

Enumeration date
08/28/2018
Last updated
11/15/2021
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