Amanda Davis
Dietitian, Registered in Hickory, NC. Individual provider (NPI-1).
NPI number1285009167
StatusActive
Last updated in NPPESDec 3, 2015
Details
- NPI
- 1285009167
- Entity type
- Individual (NPI-1)
- Name
- Amanda Davis
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 3, 2015
- Last updated
- Dec 3, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | L004758 | NC | Yes |
Practice location
420 7th Ave SwHickory, NC 28602-3236
Phone 828-485-4092
Mailing address
6068 Gold Creek Estate DrHickory, NC 28601-9432
Phone 828-778-2352
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