Individual
JILLIAN RUTH BUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
9330 MEDICAL PLAZA DR, CHARLESTON, SC 29406-9104
(843) 847-4973
Mailing address
2235 ASHLEY CROSSING DR, APARTMENT 8H, CHARLESTON, SC 29414-5779
(267) 566-0983
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
963
SC
Other
Enumeration date
08/15/2013
Last updated
08/15/2013
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