Provider Demographics
NPI:1083445704
Name:MYHILL, ABIGAIL (RDN)
Entity type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:
Last Name:MYHILL
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:901 VINTAGE CREEK DR APT 212
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27607-6185
Mailing Address - Country:US
Mailing Address - Phone:203-297-4408
Mailing Address - Fax:
Practice Address - Street 1:2409 CRABTREE BLVD STE 107
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27604-4547
Practice Address - Country:US
Practice Address - Phone:919-909-4601
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-13
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL008061133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered