Individual
KARLA BECKWITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
4050 BRIDGE VIEW DR, SUITE 600, NORTH CHARLESTON, SC 29405-7488
(843) 953-0071
Mailing address
4050 BRIDGE VIEW DR, SUITE 600, NORTH CHARLESTON, SC 29405-7488
(843) 953-0071
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
396
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
576000286
SOUTH CAROLINA DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL
SC
Enumeration date
01/30/2013
Last updated
07/08/2014
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