Sallyanne Amato, MS,RD,LD

Individual provider Active NPI Registered Dietitian · Greenville, SC

NPI 1669887667 · NPPES record last updated Jul 1, 2014

Key facts

NPI
1669887667
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
196 (SC)
Practice address
200 University RDG
Greenville, SC 29601-3635
Phone
(864) 372-3241
Fax
(864) 282-3823
NPI assigned
Jun 27, 2014
Sex
Female
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
196SCMDRegistered Dietitian

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 196 SC Yes

Addresses

Primary practice location

200 University RDG
Greenville, SC 29601-3635

Mailing address

200 University RDG
Greenville, SC 29601-3635
Phone (864) 372-3241

Other identifiers

IdentifierTypeStateIssuer
576000286OtherSCSC DEPT OF HEALTH AND ENVIRONMENTAL CONTROL

Other providers in Greenville, SC

All providers in Greenville, SC · Registered Dietitian in South Carolina

Sources for this page

Verify at the official NPI Registry.