Individual
DIANE RAINEY CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN
Contact information
Practice address
10133 LAFOY DR, HUNTERSVILLE, NC 28078-4659
(704) 948-0789
Mailing address
10133 LAFOY DR, HUNTERSVILLE, NC 28078-4659
(704) 948-0789
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1083219
NC
Other
Enumeration date
08/07/2013
Last updated
08/07/2013
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