Individual
MRS. SANDRA WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD, CDE
Contact information
Practice address
200 UNIVERSITY RDG, GREENVILLE, SC 29601-3635
(864) 455-6573
Mailing address
200 UNIVERSITY RDG, GREENVILLE, SC 29601-3635
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
251
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
576000286
SC DEPT OF HEALTH AND ENVIRONMENTAL CONTROL
SC
Enumeration date
07/11/2014
Last updated
07/11/2014
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