Provider Demographics
NPI:1235625633
Name:WILLIAMS, CHELSEA (RDN, LDN)
Entity Type:Individual
Prefix:MRS
First Name:CHELSEA
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:RDN, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:688 LAUREL BRANCH RD
Mailing Address - Street 2:
Mailing Address - City:WAYNESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28785-8489
Mailing Address - Country:US
Mailing Address - Phone:727-453-2471
Mailing Address - Fax:
Practice Address - Street 1:13 HAYWOOD OFFICE PARK STE B109A
Practice Address - Street 2:
Practice Address - City:WAYNESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28785-6970
Practice Address - Country:US
Practice Address - Phone:727-453-2471
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-09
Last Update Date:2018-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC86083380133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered