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Organization
ENDURANCE NUTRITION
Active
Organization
ENDURANCE NUTRITION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLA FITZGERALD RD, LD (OWNER)
(843) 830-5188
Entity
Organization
Contact information
Practice address
4268 SPRUILL AVENUE, NORTH CHARLESTON, SC 29405
(843) 830-5188
Mailing address
831 RIVERTON WAY, CHARLESTON, SC 29412-3480
(843) 830-5188
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/02/2022
Last updated
04/19/2022
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