MEDICARE: MARGARET WHITE RDN, LDN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	L000799	NC

General Provider Information

NPI Number	:	1578126967
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARGARET WHITE RDN, LDN

Provider Business Mailing Address
First Line	:	9815 DAVID TAYLOR DR STE 100
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28262-2358
Country	:	US
Telephone Number	:	704-385-4789
Fax Number	:

Provider Business Practice Location Address
First Line	:	9815 DAVID TAYLOR DR STE 100
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28262-2358
Country	:	US
Telephone Number	:	704-385-4789
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/21/2019
Last Update Date	:	04/23/2019

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