Provider Demographics
NPI:1386273498
Name:ALMEIDA, TAMRA DANIELLE (REGISTERED DIETITIAN)
Entity type:Individual
Prefix:
First Name:TAMRA
Middle Name:DANIELLE
Last Name:ALMEIDA
Suffix:
Gender:F
Credentials:REGISTERED DIETITIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4730 BUCKS BLUFF DR
Mailing Address - Street 2:
Mailing Address - City:NORTH MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29582-6288
Mailing Address - Country:US
Mailing Address - Phone:785-850-0844
Mailing Address - Fax:
Practice Address - Street 1:4730 BUCKS BLUFF DR
Practice Address - Street 2:
Practice Address - City:NORTH MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29582-6288
Practice Address - Country:US
Practice Address - Phone:785-850-0844
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-02
Last Update Date:2020-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1078133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NONEOtherNONE