Individual
MACKENZIE LESLIE HARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
10 RESOLUTE LN STE 204, MT PLEASANT, SC 29464-6687
(803) 814-5392
(888) 965-1379
Mailing address
10 RESOLUTE LN STE 204, MT PLEASANT, SC 29464-6687
(803) 814-5392
(888) 965-1379
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2503
SC
Other
Enumeration date
08/31/2022
Last updated
08/31/2022
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