Wellformed AI

NPI 1811283187 · live from the CMS NPI Registry

Sandra Moore Carpenter, R.D.L.D.

Dietitian, Registered in Pell City, AL. National Provider Identifier 1811283187, active.

NPI record

NPI1811283187 Type 1 · individual
StatusActive
Primary specialtyDietitian, Registered 133V00000X
Practice location70 Plaza Dr, Pell City, AL 35125
Practice phone205-814-9284
EnumeratedJune 24, 2011
Last updatedJune 24, 2011
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Dietitian, Registered primary133V00000X295 (AL)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.