Individual
HEATHER K MACKIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2300 RANDOLPH RD, CHARLOTTE, NC 28207-1562
(704) 347-4144
(704) 347-4148
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 384-7840
(704) 384-7830
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L002955
NC
Other
Enumeration date
02/09/2010
Last updated
02/09/2010
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