Individual
CLAIRE STEVENS TIDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN, LD, CNSC
Contact information
Practice address
349 SPRUCE GLEN RD, LEXINGTON, SC 29072-8897
(828) 712-3885
Mailing address
349 SPRUCE GLEN RD, LEXINGTON, SC 29072-8897
(828) 712-3885
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
438
SC
Other
Enumeration date
10/18/2015
Last updated
10/18/2015
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