Individual
AMY ELIZABETH WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, IBCLC
Contact information
Practice address
1233 SOUTHWEST AVE, JOHNSON CITY, TN 37604-6596
(423) 979-3200
(423) 688-3261
Mailing address
1111 PINE ROOT BRANCH RD, BAKERSVILLE, NC 28705-7418
(828) 688-3631
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
EXEMPT
—
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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