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Individual

ANDRYEL LOUISE HICKS-WALKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDN

Contact information

Practice address
612 SOMERTON CT, COLUMBIA, SC 29212-8272
(803) 250-1569
Mailing address
7320 BROAD RIVER RD STE 115, IRMO, SC 29063-9656
(803) 237-3624

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
344
SC

Other

Enumeration date
08/15/2023
Last updated
01/03/2024
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