Individual
EMMA A. JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN, LDN
Contact information
Practice address
1615 LOROPETALUM RD., CHARLOTTE, NC 28215-7879
(919) 452-3979
Mailing address
1615 LOROPETALUM RD, CHARLOTTE, NC 28215-7879
(919) 452-3979
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L005118
NC
Other
Enumeration date
02/07/2017
Last updated
11/19/2020
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