Individual
KATHERINE SHAVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M, RDN, LD
Contact information
Practice address
23 PEACHTREE CIR, COLUMBIA, SC 29206-1135
(803) 760-0426
Mailing address
23 PEACHTREE CIR, COLUMBIA, SC 29206-1135
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
425
SC
Other
Enumeration date
11/06/2017
Last updated
11/06/2017
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