Organization
SC DEPARTMENT OF HEALTH AND ENVIRMENTAL CONTROL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANA BOOTH PITCHER MS, RDN, LD (REGISTERED DIETITIAN)
(803) 785-6639
Entity
Organization
Contact information
Practice address
1070 S LAKE DR STE B, LEXINGTON, SC 29073-3701
(803) 785-6671
(803) 785-6556
Mailing address
1070 S LAKE DR STE B, LEXINGTON, SC 29073-3701
(803) 785-6671
(803) 785-6556
Taxonomy
Speciality
Code
Description
License number
State
261QP0905X
State or Local Public Health Clinic/Center
Primary
108
SC
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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