Individual
KATHLEEN MERCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 RICHLAND MEDICAL PARK DR STE 410-420, COLUMBIA, SC 29203-6834
(803) 545-5350
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
610
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DT1012
—
SC
Enumeration date
07/02/2014
Last updated
03/15/2018
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