Individual
MRS. TERAH NICOLE STARBUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
428 E 4TH ST, CHARLOTTE, NC 28202-2434
(704) 380-4655
Mailing address
1700 EMERYWOOD DR, CHARLOTTE, NC 28210-4142
(336) 692-8080
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L003814
NC
Other
Enumeration date
05/02/2013
Last updated
01/15/2021
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