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Organization

CENTRALINA COUNCIL OF GOVERNMENTS AREA AGENCY ON AGING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GERALDINE GARDNER (EXECUTIVE DIRECTOR)
(704) 351-7130
Entity
Organization

Contact information

Practice address
9815 DAVID TAYLOR DR STE 100, CHARLOTTE, NC 28262-2358
(704) 385-4789
(704) 347-4710
Mailing address
9815 DAVID TAYLOR DR STE 100, CHARLOTTE, NC 28262-2358
(704) 385-4789
(704) 347-4710

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
174H00000X
Health Educator

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14505743
CAQH
Enumeration date
08/02/2013
Last updated
10/27/2021
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