Individual
GRACE REBECCA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8251 WINDSOR HILL BLVD APT 9303, NORTH CHARLESTON, SC 29420-8450
(423) 366-1863
Mailing address
8251 WINDSOR HILL BLVD APT 9303, NORTH CHARLESTON, SC 29420-8450
(423) 366-1863
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
012676-01
NY
163W00000X
Registered Nurse
278962
SC
Other
Enumeration date
10/10/2024
Last updated
08/30/2025
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