Individual
SHANNON POWERS-JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
1743 BENTGRASS LN, TEGA CAY, SC 29708-8537
(803) 396-0935
Mailing address
1743 BENTGRASS LN, TEGA CAY, SC 29708-8537
(803) 396-0935
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
1289
SC
133V00000X
Registered Dietitian
Primary
L004175
NC
Other
Enumeration date
01/16/2015
Last updated
01/16/2015
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