Individual
ANGELA BILLUPS SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., L.D.
Contact information
Practice address
3604 FERNANDINA RD, SUITE 204, COLUMBIA, SC 29210-5221
(803) 414-3696
Mailing address
266 CHARLWOOD RD, IRMO, SC 29063-2303
(803) 414-3696
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
890432
SC
133VN1004X
Pediatric Nutrition Registered Dietitian
462
SC
Other
Enumeration date
07/21/2008
Last updated
07/21/2008
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