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Individual

AMY LISCOMB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDN, LD

Contact information

Practice address
4126 AUTUMN LN, VESTAVIA, AL 35243-5209
(205) 317-4111
Mailing address
4149 SHARPSBURG DR, MOUNTAIN BRK, AL 35213-3234

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2483
AL

Other

Enumeration date
10/05/2016
Last updated
10/05/2016
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