Individual
MRS. MOLLIE CAROLINE MCCONAHAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
150 ASHLEY AVE RM 318, CHARLESTON, SC 29425-8907
(843) 792-5062
Mailing address
1337 FORT JOHNSON RD APT B, CHARLESTON, SC 29412-8836
(567) 203-2614
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LRD.2209
SC
Other
Enumeration date
09/04/2024
Last updated
09/04/2024
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