Individual
JAMIE S OLIVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
9 RICHLAND MEDICAL PARK DR, SUITE 505, COLUMBIA, SC 29203-6859
(803) 434-2505
(803) 434-2181
Mailing address
PO BOX 277775, ATLANTA, GA 30384-7775
(803) 434-2505
(803) 434-2181
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1083
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DT1040
—
SC
Enumeration date
01/22/2015
Last updated
05/01/2015
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