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Organization
WACCAMAW NUTRITION
Active
Organization
WACCAMAW NUTRITION
Active
Other names
Bite Into Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
KELSEY TILLER RD, LD (AUTHORIZED MEMBER)
(843) 485-2234
Entity
Organization
Contact information
Practice address
100 ROBERTS RD, GEORGETOWN, SC 29440-6898
(843) 485-2234
Mailing address
100 ROBERTS RD, GEORGETOWN, SC 29440-6898
(843) 485-2234
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
07/14/2020
Last updated
08/10/2020
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