Organization
LOWCOUNTRY STREET GROCERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLIVIA MYERS (REGISTERED DIETITIAN)
(304) 661-9975
Entity
Organization
Contact information
Practice address
1108 WAPPOO RD, CHARLESTON, SC 29407-5954
(843) 609-8188
Mailing address
1108 WAPPOO RD, CHARLESTON, SC 29407-5954
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
04/14/2020
Last updated
06/28/2023
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