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Organization
SC DEPARTMENT OF HEALTH AND ENVIRMENTAL CONTROL
Active
Organization
SC DEPARTMENT OF HEALTH AND ENVIRMENTAL CONTROL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANA BOOTH PITCHER MS, RDN, LD (REGISTERED DIETITIAN)
(803) 785-6639
Entity
Organization
Contact information
Practice address
1070 S LAKE DR STE B, LEXINGTON, SC 29073-3701
(803) 785-6671
(803) 785-6556
Mailing address
1070 S LAKE DR STE B, LEXINGTON, SC 29073-3701
(803) 785-6671
(803) 785-6556
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
108
SC
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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