Individual
JENNIFER SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
7810 BALLANTYNE COMMONS PKWY, SUITE 200, CHARLOTTE, NC 28277-3415
(704) 995-3434
(704) 626-3339
Mailing address
7810 BALLANTYNE COMMONS PKWY, SUITE 200, CHARLOTTE, NC 28277-3415
(704) 995-3434
(704) 626-3339
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L004412
NC
Other
Enumeration date
06/24/2014
Last updated
06/24/2014
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