Individual
MS. HOLLY ANNE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., R.D., L.D.
Contact information
Practice address
210 S ROWAN AVE, SPENCER, NC 28159-2355
(704) 636-0731
Mailing address
210 S ROWAN AVE, SPENCER, NC 28159-2355
(704) 636-0731
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L002636
NC
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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