Individual
HANNA CHRISTINE CAUDILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1900 W 1ST ST, WINSTON SALEM, NC 27104-4220
(336) 724-2821
Mailing address
1192 LAMONT DR, WINSTON SALEM, NC 27103-5102
(336) 984-5918
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L005749
NC
Other
Enumeration date
05/28/2021
Last updated
05/28/2021
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