Provider Demographics
NPI:1578126967
Name:WHITE, MARGARET (RDN, LDN)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:WHITE
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 1:9815 DAVID TAYLOR DR STE 100
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28262-2358
Mailing Address - Country:US
Mailing Address - Phone:704-385-4789
Mailing Address - Fax:
Practice Address - Street 1:9815 DAVID TAYLOR DR STE 100
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28262-2358
Practice Address - Country:US
Practice Address - Phone:704-385-4789
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-21
Last Update Date:2019-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL000799133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered