Individual
ALEXANDRA PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
2829 E HIGHWAY 76, MULLINS, SC 29574-6035
(843) 431-2048
Mailing address
2829 E HIGHWAY 76, MULLINS, SC 29574-6035
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1077
SC
Other
Enumeration date
04/30/2013
Last updated
04/30/2013
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