Individual
ABBY R MONTIETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
1631 MAIN ST, COLUMBIA, SC 29201-2817
(803) 567-1217
Mailing address
615 BLANDING ST, COLUMBIA, SC 29201-2706
(815) 298-9318
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1341
SC
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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