Individual
WENDY C WYATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD,LD,CDM
Contact information
Practice address
1648 BATTALION DR, CHARLESTON, SC 29412-9623
(843) 670-0168
Mailing address
1648 BATTALION DR, CHARLESTON, SC 29412-9623
(843) 670-0168
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
885
SC
Other
Enumeration date
07/05/2011
Last updated
03/20/2013
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