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Individual

SAMANTHA SMITH-BOWMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.D.

Contact information

Practice address
15400 GREAT GLEN LN, HUNTERSVILLE, NC 28078-8549
(704) 408-3043
Mailing address
15400 GREAT GLEN LN, HUNTERSVILLE, NC 28078-8549
(704) 408-3043

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L003809
NC
133V00000X
Registered Dietitian
133VN1005X
Renal Nutrition Registered Dietitian
L003809
NC

Other

Enumeration date
11/12/2013
Last updated
01/22/2025
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