Individual
MICHELLE BUIE HENRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1910 JAKE ALEXANDER BLVD W STE 201, SALISBURY, NC 28147-1165
(704) 638-8631
(704) 638-8639
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 638-8631
(704) 638-8639
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L001050
NC
133V00000X
Registered Dietitian
—
NC
Other
Enumeration date
08/11/2014
Last updated
08/22/2024
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