# SC DEPARTMENT OF HEALTH AND ENVIRMENTAL CONTROL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144637554
- **Authorized official:** MRS. DIANA BOOTH PITCHER MS, RDN, LD (REGISTERED DIETITIAN)
- **Authorized official phone:** (803) 785-6639

## Contact information

- **Practice address:** 1070 S LAKE DR STE B, LEXINGTON, SC 29073-3701
- **Practice address phone:** (803) 785-6671
- **Practice address fax:** (803) 785-6556
- **Mailing address:** 1070 S LAKE DR STE B, LEXINGTON, SC 29073-3701
- **Mailing address phone:** (803) 785-6671
- **Mailing address fax:** (803) 785-6556

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP0905X | State or Local Public Health Clinic/Center | 108 | SC | Yes |

## Other

- **Enumeration date:** 07/17/2014
- **Last updated:** 07/17/2014