MEDICARE: JULIA NAVIN RD, 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	L006010	NC

General Provider Information

NPI Number	:	1659023471
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIA NAVIN RD, LDN

Provider Business Mailing Address
First Line	:	1315 MATTHEWS MINT HILL RD STE B
Second Line	:
City	:	MATTHEWS
State	:	NC
Zip	:	28105-2694
Country	:	US
Telephone Number	:	704-846-7105
Fax Number	:

Provider Business Practice Location Address
First Line	:	11330 VANSTORY DR STE 109K
Second Line	:
City	:	HUNTERSVILLE
State	:	NC
Zip	:	28078-8146
Country	:	US
Telephone Number	:	704-846-7105
Fax Number	:	704-246-6808

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

Provider Enumeration Date	:	01/23/2022
Last Update Date	:	01/23/2022

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