Individual
SARAH WAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
4500 STUART ST, COLUMBIA, SC 29207
(803) 751-2469
Mailing address
602 S BONHAM RD, COLUMBIA, SC 29205-4013
(252) 558-3039
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L004808
NC
Other
Enumeration date
01/08/2016
Last updated
06/20/2018
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