Individual
JACQUELYN SHARP WOMBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN, LD, EP-C
Contact information
Practice address
8962 KIRKLEY VIEW CT, CHARLOTTE, NC 28277-5715
(843) 209-7142
Mailing address
8962 KIRKLEY VIEW CT, CHARLOTTE, NC 28277-5715
(843) 209-7142
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
972
SC
133V00000X
Registered Dietitian
Primary
L005137
NC
Other
Enumeration date
10/03/2011
Last updated
03/17/2018
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