Organization
ROWAN REGIONAL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES WALLACE ELLIOTT (CEO)
(704) 210-5000
Entity
Organization
Contact information
Practice address
612 MOCKSVILLE AVENUE, SALISBURY, NC 28144
(704) 210-5000
Mailing address
612 MOCKSVILLE AVENUE, SALISBURY, NC 28144
(704) 210-5000
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
811309
IL
Other
Enumeration date
10/04/2006
Last updated
08/22/2020
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