Provider Demographics
NPI:1306299342
Name:KING, CAROLINE HOLLAND (MHS, RD, LDN)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:HOLLAND
Last Name:KING
Suffix:
Gender:F
Credentials:MHS, RD, LDN
Other - Prefix:
Other - First Name:CAROLINE
Other - Middle Name:COOPER
Other - Last Name:HOLLAND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MHS, RD, LDN
Mailing Address - Street 1:1181 WEAVER DAIRY RD
Mailing Address - Street 2:SUITE 250
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-1869
Mailing Address - Country:US
Mailing Address - Phone:984-215-4340
Mailing Address - Fax:
Practice Address - Street 1:1181 WEAVER DAIRY RD
Practice Address - Street 2:SUITE 250
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-1869
Practice Address - Country:US
Practice Address - Phone:984-215-4340
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-07-14
Last Update Date:2017-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL004273133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered