Individual
AMANDA MATHIS HOLLIDAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3128 SMOKETREE CT, RALEIGH, NC 27604-1014
(919) 350-2800
Mailing address
359 CALEY WILSON RD, APEX, NC 27523-5476
(919) 215-6752
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L002951
NC
Other
Enumeration date
03/21/2018
Last updated
07/01/2019
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