Individual
MRS. JAIME L COXON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.,L.D.
Contact information
Practice address
1012 MARKET ST, SUITE 101, FORT MILL, SC 29708-6461
(803) 370-1907
Mailing address
1012 MARKET ST, SUITE 101, FORT MILL, SC 29708-6461
(803) 370-1907
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
657
SC
133V00000X
Registered Dietitian
L003341
NC
Other
Enumeration date
05/06/2009
Last updated
05/21/2012
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