MRS. Debra Petitpain, MS, LD, RD

NPI #1013927953 in Charleston, South Carolina

Provider Information

NPI Number: 1013927953
Entity Type: Individual
Name: MRS. Debra Petitpain, MS, LD, RD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dietitian, Registered
Credential: MS, LD, RD
Enumeration Date: Aug 9, 2006
Last Updated: Jul 8, 2013

Practice Location

Address: 25 COURTENAY DR
Address 2: MSC 290, STE7100A
City: Charleston
State: South Carolina
ZIP Code: 29425-8905
Phone: (843) 876-4867

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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