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Individual

MS. MEGAN I. BENNETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
R.D.

Contact information

Practice address
877 W FARIS RD, SUITE A, GREENVILLE, SC 29605-4254
(864) 455-8147
Mailing address
255 ENTERPRISE BLVD, SUITE 102, GREENVILLE, SC 29615-6300
(864) 454-2143
(864) 454-1144

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
919483
SC

Other

Enumeration date
11/13/2006
Last updated
07/08/2007
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