Renita Constance Graham, RD
NPI #1295832509 in Fort Jackson, South Carolina
Provider Information
- NPI Number
- 1295832509
- Entity Type
- Individual
- Name
- Renita Constance Graham, RD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dietitian, Registered
- Credential
- RD
- Enumeration Date
- Sep 20, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 4500 STUART ST
- Address 2
- MONCRIEF ARMY COMMUNITY HOSPTIAL, ATTN: MCXL-PQ
- City
- Fort Jackson
- State
- South Carolina
- ZIP Code
- 29207-5720
- Phone
- (803) 751-2618
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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