Individual
MAGGIE CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS-NDTR
Contact information
Practice address
148 W IREDELL CIR, STATESVILLE, NC 28625-1848
(704) 402-2724
Mailing address
148 W IREDELL CIR, STATESVILLE, NC 28625-1848
(704) 402-2724
Taxonomy
Speciality
Code
Description
License number
State
136A00000X
Registered Dietetic Technician
Primary
—
NC
Other
Enumeration date
11/10/2019
Last updated
11/10/2019
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