Waccamaw Nutrition
NPI #1700404985 in Georgetown, South Carolina
Provider Information
- NPI Number
- 1700404985
- Entity Type
- Organization
- Organization Name
- Waccamaw Nutrition
- Primary Specialty
- Dietitian, Registered
- Enumeration Date
- Jul 14, 2020
- Last Updated
- Aug 10, 2020
Practice Location
- Address
- 100 ROBERTS RD
- City
- Georgetown
- State
- South Carolina
- ZIP Code
- 29440-6898
- Phone
- (843) 485-2234
Authorized Official
- Name
- KELSEY TILLER, RD, LD
- Title
- AUTHORIZED MEMBER
- Phone
- (843) 485-2234
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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