Individual
MR. YAW BOATENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.D., C.D.E.
Contact information
Practice address
3310 MAGNOLIA ST, ORANGEBURG, SC 29115-1466
(803) 531-6900
(803) 531-6907
Mailing address
3310 MAGNOLIA ST, ORANGEBURG, SC 29115-1466
(803) 531-6900
(803) 531-6907
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
382
SC
133V00000X
Registered Dietitian
Primary
382
SC
Other
Enumeration date
07/11/2013
Last updated
01/03/2023
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