Individual
CYNTHIA WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
128 MAXWELL AVE, SUITE F, GREENWOOD, SC 29646-2641
(864) 715-2445
Mailing address
128 MAXWELL AVE, SUITE F, GREENWOOD, SC 29646-2641
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/23/2016
Last updated
01/23/2016
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