Organization
THE QUEEN CITY DIETITIAN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA HERLOCKER MS, RDN, LDN (OWNER)
(704) 564-9122
Entity
Organization
Contact information
Practice address
9325 FAIRCHILD LN, CHARLOTTE, NC 28277-7822
(704) 564-9122
Mailing address
9325 FAIRCHILD LN, CHARLOTTE, NC 28277-7822
(704) 564-9122
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
10/27/2023
Last updated
10/27/2023
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