Individual
MIRANDA PRISLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
1 MEDICAL PARK DR, CHESTER, SC 29706-9769
(803) 581-3151
Mailing address
2395 MARETT BLVD, ROCK HILL, SC 29732-1638
(608) 738-4221
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1193
SC
Other
Enumeration date
10/16/2015
Last updated
10/16/2015
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