Doctor Name: | JOHANNA SHEA BALLARD |
NPI Number: | 1558685156 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD, LDN, IBCLC, RLC |
License Number: | L003315 |
Business Practice Address: | 101 Manning Dr Dept Of Nutrition Services Chapel Hill, NC - 275144220 |
Business Phone Number: | 9199660829 |
Business Fax Number: | |
Mailing Address: | 211 Friday Center Dr, Suite 2091, Room 2102 CHAPEL HILL |
State: | NC |
Postal Code: | 275179499 |
Phone Number: | 9199665804 |
Fax Number: | 9199669983 |
NPI Enumeration Date: | 03/25/2010 |
NPI Last Update Date: | 04/29/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | L003315 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |