Provider Demographics
NPI:1013197789
Name:ANDREWS, TONI GORE (MPH, RD, LDN)
Entity Type:Individual
Prefix:MRS
First Name:TONI
Middle Name:GORE
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:MPH, RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:829 S RALEIGH ST
Mailing Address - Street 2:
Mailing Address - City:ANGIER
Mailing Address - State:NC
Mailing Address - Zip Code:27501-8848
Mailing Address - Country:US
Mailing Address - Phone:919-639-0584
Mailing Address - Fax:
Practice Address - Street 1:829 S RALEIGH ST
Practice Address - Street 2:
Practice Address - City:ANGIER
Practice Address - State:NC
Practice Address - Zip Code:27501-8848
Practice Address - Country:US
Practice Address - Phone:919-639-0584
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-09
Last Update Date:2007-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL000415133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered