Organization
NUTRITION IAM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. IRIS ABIGIAL MCDUFFIE RDN (REGISTERED DIETITIAN NUTRITIONIST)
(706) 627-5864
Entity
Organization
Contact information
Practice address
417 S JEFFORDS ST, FLORENCE, SC 29506-3129
(706) 627-5864
Mailing address
417 S JEFFORDS ST, FLORENCE, SC 29506-3129
(706) 627-5864
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DT1134
—
SC
Enumeration date
05/25/2022
Last updated
05/25/2022
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