Healthcare Provider Details

I. General information

NPI: 1457752594
Provider Name (Legal Business Name): EMILY FRYE RAMSEY MPH, RD, CSP, LD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2014
Last Update Date: 10/23/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 MANNING DR OUTPATIENT CLINICAL NUTRITION DEPARTMENT
CHAPEL HILL NC
27514-4220
US

IV. Provider business mailing address

101 MANNING DR OUTPATIENT CLINICAL NUTRITION DEPARTMENT
CHAPEL HILL NC
27514-4220
US

V. Phone/Fax

Practice location:
  • Phone: 984-974-3357
  • Fax:
Mailing address:
  • Phone: 984-974-3357
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133VN1004X
TaxonomyPediatric Nutrition Registered Dietitian
License NumberL004288
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: