Individual
AMANDA STEWART HOPKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
4207 LAKE BOONE TRL STE 210, RALEIGH, NC 27607-6685
(919) 784-7874
Mailing address
1135 CARTHAGE ST, SANFORD, NC 27330-4162
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L005314
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902836943
—
NC
Enumeration date
01/16/2018
Last updated
09/11/2018
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