Individual
MRS. AMY BILBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LD, CNSC
Contact information
Practice address
165 ASHLEY AVE, MSC 905, CHARLESTON, SC 29425-9050
(843) 876-7271
Mailing address
3316 RITCH AVE, CHARLOTTE, NC 28206-2010
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1301
SC
Other
Enumeration date
05/27/2015
Last updated
05/27/2015
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