Individual
MELLONEE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LD
Contact information
Practice address
109 BEE ST, CHARLESTON, SC 29401-5703
(843) 789-6676
Mailing address
109 BEE ST, CHARLESTON, SC 29401-5703
(205) 915-6817
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1427
SC
Other
Enumeration date
11/20/2015
Last updated
12/09/2021
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