Individual
TEVIN SUTTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4500 8TH DIVISION RD, COLUMBIA, SC 29207-5700
(803) 751-2160
Mailing address
4500 8TH DIVISION RD, COLUMBIA, SC 29207-5700
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
SC
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
TX
Other
Enumeration date
10/09/2023
Last updated
04/05/2026
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