Individual
MARY BASEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
169 ASHLEY AVE, CHARLESTON, SC 29425-8905
(843) 792-4100
Mailing address
PO BOX 931854, ATLANTA, GA 31193-1854
(843) 792-2300
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
684682
SC
Other
Enumeration date
02/07/2008
Last updated
02/07/2008
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