Provider Demographics
NPI:1356590475
Name:SCHAUDER, COURTNEY PERKINS (RD, LDN, CEDRD)
Entity type:Individual
Prefix:MRS
First Name:COURTNEY
Middle Name:PERKINS
Last Name:SCHAUDER
Suffix:
Gender:F
Credentials:RD, LDN, CEDRD
Other - Prefix:MISS
Other - First Name:COURTNEY
Other - Middle Name:ELIZABETH
Other - Last Name:PERKINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD, LDN
Mailing Address - Street 1:5950 FAIRVIEW RD
Mailing Address - Street 2:SUITE 708
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28210-3104
Mailing Address - Country:US
Mailing Address - Phone:704-909-6133
Mailing Address - Fax:610-771-7355
Practice Address - Street 1:5960 FAIRVIEW RD
Practice Address - Street 2:SUITE 433
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28210-3102
Practice Address - Country:US
Practice Address - Phone:704-909-6133
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-12
Last Update Date:2016-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL003927133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered