Toni Gore Andrews, MPH, RD, LDN

Individual provider Active NPI Registered Dietitian · Angier, NC

NPI 1013197789 · NPPES record last updated Nov 9, 2007

Key facts

NPI
1013197789
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
L000415 (NC)
Practice address
829 S Raleigh St
Angier, NC 27501-8848
Phone
(919) 639-0584
NPI assigned
Nov 9, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
L000415NCMDRegistered Dietitian

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X L000415 NC Yes

Addresses

Primary practice location

829 S Raleigh St
Angier, NC 27501-8848

Mailing address

829 S Raleigh St
Angier, NC 27501-8848
Phone (919) 639-0584

Other providers in Angier, NC

All providers in Angier, NC · Registered Dietitian in North Carolina

Sources for this page

Verify at the official NPI Registry.