Basic Information
| Provider Information | |||||||||
| NPI: | 1326471012 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | PLUMMER | ||||||||
| FirstName: | DANA | ||||||||
| MiddleName: | K | ||||||||
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| Credential: | RD | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 60447 | ||||||||
| Address2: | |||||||||
| City: | CHARLOTTE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 282600447 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7043845043 | ||||||||
| FaxNumber: | 7043848895 | ||||||||
| Practice Location | |||||||||
| Address1: | 420 7TH AVE SW | ||||||||
| Address2: | |||||||||
| City: | HICKORY | ||||||||
| State: | NC | ||||||||
| PostalCode: | 286023236 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8284854090 | ||||||||
| FaxNumber: | 8283286166 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/16/2013 | ||||||||
| LastUpdateDate: | 02/27/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 133V00000X | 86007268 | NC | Y | Dietary & Nutritional Service Providers | Dietitian, Registered |
No ID Information.