Individual
AMANDA ELLEN AVERETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, LDN
Contact information
Practice address
19607 W CATAWBA AVE STE 102, CORNELIUS, NC 28031-4042
(919) 603-7631
Mailing address
4920 BENTRIDGE DR NW, CONCORD, NC 28027-2826
(919) 603-7631
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L005831
NC
Other
Enumeration date
07/11/2019
Last updated
07/11/2019
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