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NPI Code Detail

MEDICARE: MS. TONYA ASHRAFI RD

MEDICARE: MS. TONYA ASHRAFI RD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered DietitianL004124NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710370457
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TONYA ASHRAFI RD
Provider Business Mailing Address
First Line : 4525 CAMERON VALLEY PKWY
Second Line :
City : CHARLOTTE
State : NC
Zip : 28211-4369
Country : US
Telephone Number : 704-302-9462
Fax Number :
Provider Business Practice Location Address
First Line : 600 HOSPITAL DR
Second Line :
City : MONROE
State : NC
Zip : 28112-6000
Country : US
Telephone Number : 980-993-2884
Fax Number : 980-993-2881
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2015
Last Update Date : 01/27/2022

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