Cindy Custer, RD | |
18137 W Catawba Ave, Cornelius, NC 28031-5641 | |
(949) 294-8834 | |
Not Available |
Full Name | Cindy Custer |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 18137 W Catawba Ave, Cornelius, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1760974026 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | L005037 (North Carolina) | Primary |
Provider Name | Total Nutrition Technology Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1467599001 PECOS PAC ID: 0941697643 Enrollment ID: O20220427002759 |
Mailing Address | Practice Location Address |
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Cindy Custer, RD 11646 Hidden Forest Ln, Davidson, NC 28036-8544 Ph: (949) 294-8834 | Cindy Custer, RD 18137 W Catawba Ave, Cornelius, NC 28031-5641 Ph: (949) 294-8834 |
Mr. Preston Reid Jackson, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 18137 W Catawba Ave, Cornelius, NC 28031 Phone: 704-549-9550 | |
Mrs. Mekenzie Lynn Riley, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 19607 W Catawba Ave, Cornelius, NC 28031 Phone: 704-895-8000 | |
Sarah Schlichter, MPH, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 19607 W Catawba Ave, Cornelius, NC 28031 Phone: 704-562-8373 | |
Kerri K Doucette, R.N., R.D., C.D.E. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 20218 Colony Point Ln, Cornelius, NC 28031 Phone: 603-361-9620 | |
Mrs. Doris Fiorillo Wicks, RD, LDN, CNSC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 19220 Makayla Ln, Cornelius, NC 28031 Phone: 772-633-3176 | |
Sondra Tackett, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 19607 W Catawba Ave, Cornelius, NC 28031 Phone: 704-895-8000 | |
Alyssa Sharp, MS, RD, CDCES Dietitian Medicare: Medicare Enrolled Practice Location: 11429 Heritage Green Dr, Cornelius, NC 28031 Phone: 260-804-7540 |