Individual
CHRISTINA R BANNISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
25 COURTENAY DR, CHARLESTON, SC 29425-8911
(843) 876-2622
(843) 876-7272
Mailing address
824 DETYENS RD, MOUNT PLEASANT, SC 29464-5180
(843) 452-1970
(843) 876-7272
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
252
SC
Other
Enumeration date
11/16/2023
Last updated
11/16/2023
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