Most Relevant Information
Provider Data
| NPI Number: | 1003295718 |
| Provider Name: | AMY BILBO MS, RD, LD, CNSC |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | 1301 |
Most Important Dates
| Enumeration Date: | 05/27/2015 |
| Last Updated: | 05/27/2015 |
Provider Practice Location
165 ASHLEY AVE
MSC 905
CHARLESTON
SC
294259050
Practice Location Phone/Fax
| Phone: | 8438767271 |
| Fax: |
Provider Mailing Location
3316 RITCH AVE
CHARLOTTE
NC
282062010
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |