Individual
MRS. DEBRA PETITPAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LD, RD
Contact information
Practice address
25 COURTENAY DR, MSC 290, STE7100A, CHARLESTON, SC 29425-8905
(843) 876-4867
Mailing address
10 STRATFORD RD, CHARLESTON, SC 29407-7246
(843) 876-4867
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/09/2006
Last updated
07/08/2013
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