Dominique Stamps, RDN | |
210 Hinton Oaks Blvd Ste E, Knightdale, NC 27545-6564 | |
(919) 679-3177 | |
Not Available |
Full Name | Dominique Stamps |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | 210 Hinton Oaks Blvd Ste E, Knightdale, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780312173 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | L006962 (North Carolina) | Primary |
Provider Name | Avance Care Pa |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1487845020 PECOS PAC ID: 3577634476 Enrollment ID: O20080620000196 |
Mailing Address | Practice Location Address |
---|---|
Dominique Stamps, RDN 10900 World Trade Blvd, Raleigh, NC 27617-4202 Ph: (919) 237-1337 | Dominique Stamps, RDN 210 Hinton Oaks Blvd Ste E, Knightdale, NC 27545-6564 Ph: (919) 679-3177 |
Cynthia Topley, MS, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6602 Knightdale Blvd, #202, Knightdale, NC 27545 Phone: 919-747-5270 | |
Deanna High, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5733 Meadow Run, Knightdale, NC 27545 Phone: 919-671-2417 | |
Mrs. Laura A Combs, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 8812 Wormsloe Dr, Knightdale, NC 27545 Phone: 919-266-1516 |