Harding, Susan Tyler Wallace

Harding, Susan Tyler Wallace is an individual health care provider with primary practice located at 2909 Manor Rd , Charlotte NC 28209-2247. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Education, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Harding, Susan Tyler Wallace can be contacted via phone (804) 337-8835.

Contact Information

Primary practice address
2909 Manor Rd Charlotte NC 28209-2247
Phone: (804) 337-8835
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Education 133NN1002X L004973 North Carolina
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X L004973 North Carolina

Profile Details

NPI number 1972059913
LBN Legal business name Harding, Susan Tyler Wallace
Credentials M.S., R.D., L.D.N.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2016
Last updated Aug 30th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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