Individual
MRS. ALLISON RENAE RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LD
Contact information
Practice address
5970 FAIRVIEW RD STE 420, CHARLOTTE, NC 28210-3167
(980) 701-4190
(980) 701-4194
Mailing address
897 PECAN TREE LN, FORT MILL, SC 29715-7010
(515) 975-8722
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L005977
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1793
SOUTH CAROLINA DIETITIAN LICENSE
SC
01
—
L005977
NORTH CAROLINA DIETITIAN LICENSE
NC
Enumeration date
10/28/2019
Last updated
10/28/2019
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