Individual
HALLIE MILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LDN, CNSC
Contact information
Practice address
17019 SOHO DR, CHARLOTTE, NC 28204-3573
(407) 739-9063
Mailing address
17019 SOHO DR, CHARLOTTE, NC 28204-3573
(407) 739-9063
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
L007411
NC
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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