Individual
JODI LEE WINGROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
2630 E 7TH ST, CHARLOTTE, NC 28204-4318
(704) 355-9484
Mailing address
2630 E 7TH ST, CHARLOTTE, NC 28204-4318
(704) 355-9484
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
848395
NC
133V00000X
Registered Dietitian
L001389
NC
Other
Enumeration date
11/14/2018
Last updated
11/14/2018
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