Elizabeth Black Smith, RD, LDN
Dietitian, Registered in Charlotte, NC. Individual provider (NPI-1).
NPI number1982187571
StatusActive
Last updated in NPPESFeb 19, 2019
Details
- NPI
- 1982187571
- Entity type
- Individual (NPI-1)
- Name
- Elizabeth Black Smith
- Credential
- RD, LDN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 11, 2018
- Last updated
- Feb 19, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | L005574 | NC | Yes |
Practice location
5821 Fairview RoadSuite 216
Charlotte, NC 28209
Phone 980-224-3514
Mailing address
5821 Fairview RoadSuite 216
Charlotte, NC 28209
Phone 980-224-3514
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