Individual
SUSAN ANNE MILLS TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD LD CDE
Contact information
Practice address
719 OKATIE HWY # 170, OKATIE, SC 29909-3963
(843) 987-7400
(843) 987-7498
Mailing address
721 N OKATIE HWY # 170, RIDGELAND, SC 29936-8276
(843) 987-7400
(843) 987-7498
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
470
SC
Other
Enumeration date
09/07/2011
Last updated
03/11/2020
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