Provider Demographics
NPI:1194162891
Name:CARPER, EMILY FRANCES (RD)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:FRANCES
Last Name:CARPER
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 ALEXANDER BANK DR STE 300
Mailing Address - Street 2:
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28117-9624
Mailing Address - Country:US
Mailing Address - Phone:704-660-4584
Mailing Address - Fax:
Practice Address - Street 1:106 ALEXANDER BANK DR STE 300
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28117-9624
Practice Address - Country:US
Practice Address - Phone:704-660-4584
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-04
Last Update Date:2021-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL004186133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered