Individual
CHRISTINA FOGARTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26 WINDING OAK DR, ARDEN, NC 28704-8433
(404) 583-7004
Mailing address
26 WINDING OAK DR, ARDEN, NC 28704-8433
(404) 583-7004
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L005160
NC
Other
Enumeration date
04/17/2019
Last updated
04/17/2019
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