Provider Demographics
NPI:1700134947
Name:GREENWOOD, HOLLIE CARTER (MS, NC)
Entity Type:Individual
Prefix:MISS
First Name:HOLLIE
Middle Name:CARTER
Last Name:GREENWOOD
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Gender:F
Credentials:MS, NC
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Mailing Address - Street 1:113 W FRONT ST
Mailing Address - Street 2:SUITE 105
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59802-4332
Mailing Address - Country:US
Mailing Address - Phone:406-493-0779
Mailing Address - Fax:406-545-2333
Practice Address - Street 1:113 W FRONT ST
Practice Address - Street 2:SUITE 105
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59802-4332
Practice Address - Country:US
Practice Address - Phone:406-493-0779
Practice Address - Fax:406-545-2333
Is Sole Proprietor?:No
Enumeration Date:2012-08-20
Last Update Date:2012-08-20
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education