Individual
DAWN MARTIN HEEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
905 VERDAE BLVD STE 103, GREENVILLE, SC 29607-4029
(864) 522-2180
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
762
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DT1053
—
SC
01
—
Q50687
MEDICARE
SC
Enumeration date
06/02/2015
Last updated
04/25/2022
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