Individual
MRS. ROYA ANVAR CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD,LDN
Contact information
Practice address
1801 E. 5TH STREET, SUITE 213, CHARLOTTE, NC 28227
(704) 577-8416
(704) 248-7561
Mailing address
5113 BIRCHBARK LN, CHARLOTTE, NC 28227-4916
(704) 577-8416
(704) 248-7561
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L000855
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14192
BCBS PROVIDER #
NC
Enumeration date
11/15/2007
Last updated
11/15/2007
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