Individual
RACHAEL WALLACE HARTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1898 CALHOUN ST STE 8, COLUMBIA, SC 29201-2650
(803) 381-3304
Mailing address
1313 MAPLE ST, COLUMBIA, SC 29205-1253
(803) 381-3304
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/05/2008
Last updated
04/11/2016
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