Individual
PARKER WALLACE MCKINNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
800 HARTFORD AVE, CHARLOTTE, NC 28209-2304
(210) 394-7661
Mailing address
800 HARTFORD AVE, CHARLOTTE, NC 28209-2304
(210) 394-7661
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT88010
TX
133V00000X
Registered Dietitian
L008750
NC
Other
Enumeration date
04/04/2023
Last updated
02/10/2026
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