Individual
FARRAH WIGAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LD, CSOWM
Contact information
Practice address
140 ROYAL CREEK DR, LEXINGTON, SC 29072-8237
(803) 814-4218
Mailing address
140 ROYAL CREEK DR, LEXINGTON, SC 29072-8237
(502) 438-6041
(803) 520-7638
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
164
SC
133V00000X
Registered Dietitian
Primary
932508
—
Other
Enumeration date
05/19/2015
Last updated
09/10/2018
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