Individual
SHIRLEY CALDWELL-GLOVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 HAMPTON ST, COLUMBIA, SC 29204-1002
(803) 576-2956
Mailing address
2000 HAMPTON ST, COLUMBIA, SC 29204-1002
(803) 576-2956
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
253
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
576000286
SC DEPT. OF HEALTH AND ENVIRONMENTAL CONTROL
SC
Enumeration date
07/01/2014
Last updated
07/09/2014
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