Individual
AMANDA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN, CHWC
Contact information
Practice address
1710 KERNERSVILLE MEDICAL PKWY, SUITE 210, KERNERSVILLE, NC 27284-7155
(336) 564-4950
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
896874
—
Other
Enumeration date
05/14/2015
Last updated
10/28/2020
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