Individual
SHARON L WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
101 MANNING DR, CHAPEL HILL, NC 27514-4220
(984) 974-9500
(984) 215-5811
Mailing address
211 FRIDAY CENTER DR, SUITE 2091, ROOM 2012, CHAPEL HILL, NC 27517-9499
(919) 966-0420
(919) 966-9983
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
L001277
NC
Other
Enumeration date
08/08/2007
Last updated
05/19/2025
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