Individual
MRS. CARLY FENIMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., R.D., L.D.N.
Contact information
Practice address
9209 BAYBROOK LN, CHARLOTTE, NC 28277-3576
(704) 591-0701
Mailing address
715 CONESTOGA DR, CHARLOTTE, NC 28270-0832
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L003946
NC
Other
Enumeration date
12/22/2014
Last updated
12/22/2014
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