Individual
BETHANY MOTES SUDDRETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
1350 CLEVELAND ST, GREENVILLE, SC 29607-2440
(864) 675-3488
(864) 627-9131
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1685
SC
133V00000X
Registered Dietitian
LD004464
GA
Other
Enumeration date
11/13/2015
Last updated
03/21/2018
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