Individual
MRS. MAKALA KATUSCAK SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
2 MEDICAL PARK RD STE LL9, COLUMBIA, SC 29203-6875
(803) 434-9660
(803) 434-9669
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1235
SC
Other
Enumeration date
10/02/2014
Last updated
02/19/2024
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