Individual
MAIA BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
1550 CAROLINA AVE, ORANGEBURG, SC 29115-4944
(803) 268-5752
Mailing address
1550 CAROLINA AVE, ORANGEBURG, SC 29115-4944
(803) 268-5752
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1160
SC
Other
Enumeration date
07/14/2014
Last updated
07/14/2014
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