Individual
LIBBY SIEGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
650 ELLIS OAK DR, CHARLESTON, SC 29412-3089
(843) 792-3451
Mailing address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-1414
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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