Individual
BROOKE GRUSSING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5 RICHLAND MEDICAL PARK DR, COLUMBIA, SC 29203-6863
(803) 296-2548
(803) 296-2548
Mailing address
5 RICHLAND MEDICAL PARK DR, COLUMBIA, SC 29203-6863
(803) 296-2548
(803) 296-2548
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1221
SC
Other
Enumeration date
12/03/2014
Last updated
12/03/2014
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