Individual
MS. ELYSE ALEXANDRA SHEARER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
22725 HIGHWAY 76 E, CLINTON, SC 29325-7527
(864) 833-9369
Mailing address
10 CAPEWOOD RD, APT. 225, SIMPSONVILLE, SC 29680-2701
(716) 523-4326
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LRD.846 RD
SC
Other
Enumeration date
07/19/2010
Last updated
07/19/2010
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