Individual
MR. MICHAEL CLAYTON STAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RD, LD
Contact information
Practice address
86 JONATHAN LUCAS ST, CHARLESTON, SC 29425-8900
(843) 792-3101
(843) 792-4080
Mailing address
86 JONATHAN LUCAS ST, CHARLESTON, SC 29425-8900
(843) 792-3101
(843) 792-4080
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
570
SC
Other
Enumeration date
02/24/2011
Last updated
02/24/2011
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