Provider Demographics
NPI:1811666233
Name:SZARKO, CHERYL (RDN)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:
Last Name:SZARKO
Suffix:
Gender:
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 WILLOWBROOK CIR
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:NC
Mailing Address - Zip Code:27527-9730
Mailing Address - Country:US
Mailing Address - Phone:352-559-5332
Mailing Address - Fax:
Practice Address - Street 1:9921 CLAYTON BOULEVARD
Practice Address - Street 2:SUITE 405
Practice Address - City:CLAYTON
Practice Address - State:NC
Practice Address - Zip Code:27520
Practice Address - Country:US
Practice Address - Phone:352-559-5332
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-09
Last Update Date:2025-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND10612133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered