Individual
SHANNON MAHONEY COTTRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
701 GROVE RD, GREENVILLE, SC 29605-4210
(864) 455-3879
Mailing address
305 CRESTWOOD DR, MAULDIN, SC 29662-2505
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2181
SC
Other
Enumeration date
12/28/2023
Last updated
12/28/2023
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