Michael Todd Amick, REGISTERED DIETITIAN
Individual provider Active NPI Registered Dietitian · Garner, NC
NPI 1922491794 · NPPES record last updated Mar 18, 2015
Key facts
- NPI
- 1922491794
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 818167 (NC)
- Practice address
- 208 Foxtrap CT.
Garner, NC 27529 - Phone
- (919) 413-3667
- Fax
- (919) 661-1986
- NPI assigned
- Mar 18, 2015
- Sex
- Male
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 818167 | NC | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 818167 | NC | Yes |
Addresses
Primary practice location
208 Foxtrap CT.
Garner, NC 27529
Mailing address
208 Foxtrap CT.
Garner, NC 27529
Phone (919) 413-3667
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All providers in Garner, NC · Registered Dietitian in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.