Individual
MRS. LEIGH ANNE CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA,RD, LDN
Contact information
Practice address
2230 HORIZON CT, CONOVER, NC 28613-9253
(828) 228-1027
Mailing address
4610 COUNTRY CLUB RD, WINSTON SALEM, NC 27104-3520
(336) 716-8232
(336) 716-8228
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L002833
NC
2255A2300X
Athletic Trainer
0254
NC
Other
Enumeration date
09/25/2006
Last updated
04/20/2022
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