Individual
BLAKE BRAUNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS,RD,CSSD
Contact information
Practice address
4500 8TH DIVISION RD, COLUMBIA, SC 29207-5700
(803) 751-2169
Mailing address
4500 8TH DIVISION RD, COLUMBIA, SC 29207-5700
(803) 751-2273
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/12/2022
Last updated
08/06/2025
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