Organization
K SHAVO NUTRITION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE SHAVO MS, RDN, LD (OWNER / CONSULTANT)
(803) 760-0426
Entity
Organization
Contact information
Practice address
23 PEACHTREE CIR, COLUMBIA, SC 29206-1135
(803) 760-0426
Mailing address
23 PEACHTREE CIR, COLUMBIA, SC 29206-1135
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
425
SC
Other
Enumeration date
11/06/2017
Last updated
11/06/2017
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