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Individual

MRS. SYLVIA DAVIS BLYTH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R.D., L.D.

Contact information

Practice address
1452 OAKLANDING RD, MT PLEASANT, SC 29464-3829
(843) 670-1488
Mailing address
1452 OAKLANDING RD, MT PLEASANT, SC 29464-3829
(843) 670-1488

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
300
SC

Other

Enumeration date
08/20/2012
Last updated
08/20/2012
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