Individual
MELISSA OMEGA MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
5319 PARKSHIRE WAY, NORTH CHARLESTON, SC 29418-2051
(843) 767-2121
(843) 767-2102
Mailing address
7073 MACKEY LN, HOLLYWOOD, SC 29449-6289
(843) 323-7162
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1041
SC
Other
Enumeration date
10/30/2014
Last updated
10/30/2014
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