Individual
ELIZABETH BLACK SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
5821 FAIRVIEW ROAD, SUITE 216, CHARLOTTE, NC 28209
(980) 224-3514
Mailing address
5821 FAIRVIEW ROAD, SUITE 216, CHARLOTTE, NC 28209
(980) 224-3514
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L005574
NC
Other
Enumeration date
09/11/2018
Last updated
02/19/2019
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