Individual
DILLON GRACE WINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1119 WAPPOO RD UNIT L, CHARLESTON, SC 29407-5941
(843) 790-8674
Mailing address
1674 FOLLY RD APT 529, CHARLESTON, SC 29412-8715
(919) 744-5322
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2940
SC
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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