Individual
NICOLE MCKENZIE PREDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
555 E CHEVES ST, FLORENCE, SC 29506-2617
(920) 207-7168
Mailing address
2374 FREEDOM BLVD APT A2, FLORENCE, SC 29505-6175
(920) 207-7168
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86091928
COMMISSION ON DIETETIC REGISTRATION
—
Enumeration date
06/27/2020
Last updated
07/07/2020
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