Individual
ALICIA FOGARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, CSSD, LDN
Contact information
Practice address
900 CENTER PARK DR, SUITE J, CHARLOTTE, NC 28217-2961
(704) 667-2575
(704) 667-2541
Mailing address
PO BOX 32861, SPORTS MEDICINE, EVENT MEDICINT, AND COMMUNITY WELLNESS, CHARLOTTE, NC 28232-2861
(704) 667-2575
(704) 667-2541
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L003194
NC
Other
Enumeration date
04/14/2016
Last updated
04/14/2016
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