Individual
SUSAN MORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2000 HAMPTON ST, COLUMBIA, SC 29204-1002
(803) 576-2764
Mailing address
2000 HAMPTON ST, COLUMBIA, SC 29204-1002
(803) 576-2764
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1215
SC
Other
Enumeration date
01/27/2015
Last updated
01/27/2015
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