| Doctor Name: | AMY ELIZABETH WATERS |
| NPI Number: | 1134264302 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, RD, IBCLC |
| License Number: | EXEMPT |
| Business Practice Address: | 1233 Southwest Ave Johnson City, TN - 376046596 |
| Business Phone Number: | 4239793200 |
| Business Fax Number: | 4236883261 |
| Mailing Address: | 1111 Pine Root Branch Rd, BAKERSVILLE |
| State: | NC |
| Postal Code: | 287057418 |
| Phone Number: | 8286883631 |
| Fax Number: | |
| NPI Enumeration Date: | 02/21/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | EXEMPT |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |