Individual
JILLIAN CHANDLER DALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 BLYTHE BLVD STE 601, CHARLOTTE, NC 28203-6107
(704) 381-9900
Mailing address
400 LANSDOWNE RD, CHARLOTTE, NC 28270-5308
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L005232
NC
Other
Enumeration date
01/24/2018
Last updated
01/24/2018
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