Individual
CAROL LAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
7825 BALLANTYNE COMMONS PKWY, CHARLOTTE, NC 28277-3174
(704) 544-4330
Mailing address
2411 WAXHAW MARVIN RD, MARVIN, NC 28173-7526
(704) 843-4306
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L000826
NC
Other
Enumeration date
04/09/2013
Last updated
04/09/2013
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