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Contact Information

AMANDA SALLEY, MS, RD, CSP, LDN
129 PALM COVE WAY
MOUNT PLEASANT, SC29466-8160
 Phone: 260-804-2880
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nutrition, Pediatric

133VN1004X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for AMANDA SALLEY · (Female)

NPI Number 1043757149
Status Active
Credentials MS, RD, CSP, LDN
Entity Individual
Enumeration date 01/26/2017
Last updated 02/24/2025 - More than a year ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 164.006966
  • SC License # 2758
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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