Individual
STACIE B MCINTYRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
132 SUNSET CT, WEST COLUMBIA, SC 29169-2429
(803) 936-7450
(803) 936-7452
Mailing address
PO BOX 896239, CHARLOTTE, NC 28289-6239
(803) 936-7450
(803) 936-7452
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
SC
Other
Enumeration date
09/10/2015
Last updated
09/28/2018
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