Individual
SAMARA ABBOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2820 SELWYN AVE STE 745, CHARLOTTE, NC 28209-2765
(980) 349-7763
Mailing address
2820 SELWYN AVE STE 745, CHARLOTTE, NC 28209-2765
(980) 349-7763
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L004384
NC
Other
Enumeration date
08/07/2016
Last updated
09/28/2020
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