Individual
JULIA A CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LDN
Contact information
Practice address
470 GREENWAY DR, JOHNSTOWN, OH 43031-1387
(252) 619-6394
Mailing address
470 GREENWAY DR, JOHNSTOWN, OH 43031-1387
(252) 619-6394
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
L004667
NC
133V00000X
Registered Dietitian
Primary
LD08420
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19HJJ
BCBS OF NC
NC
Enumeration date
07/24/2015
Last updated
03/17/2021
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