Individual
DR. JULISU DIMUCCI-WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, RD,CDE,LD
Contact information
Practice address
350 HOWARD ST, SPARTANBURG, SC 29303-3515
(864) 327-9907
(864) 804-6986
Mailing address
350 HOWARD ST, SPARTANBURG, SC 29303-3515
(864) 327-9907
(864) 804-6986
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
721719
SC
133V00000X
Registered Dietitian
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DT1016
—
SC
Enumeration date
02/09/2007
Last updated
06/30/2020
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