Provider Demographics
NPI:1841529997
Name:DOW, CHRISTIN ELIZABETH (RD, LDN)
Entity type:Individual
Prefix:MRS
First Name:CHRISTIN
Middle Name:ELIZABETH
Last Name:DOW
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:CHRISTIN
Other - Middle Name:ELIZABETH
Other - Last Name:MACE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD,LDN
Mailing Address - Street 1:PO BOX 1489
Mailing Address - Street 2:
Mailing Address - City:ALBEMARLE
Mailing Address - State:NC
Mailing Address - Zip Code:28002-1489
Mailing Address - Country:US
Mailing Address - Phone:704-983-8206
Mailing Address - Fax:704-984-4670
Practice Address - Street 1:301 YADKIN ST
Practice Address - Street 2:
Practice Address - City:ALBEMARLE
Practice Address - State:NC
Practice Address - Zip Code:28001-3441
Practice Address - Country:US
Practice Address - Phone:704-983-8206
Practice Address - Fax:704-984-4670
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-21
Last Update Date:2009-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL003344133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered