Individual
JENNIFER SWALLOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
205 GRANDVIEW DR, SUITE A, SUMMERVILLE, SC 29483-6948
(843) 619-0052
Mailing address
205 GRANDVIEW DR, SUITE A, SUMMERVILLE, SC 29483-6948
(843) 619-0052
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1127
SC
Other
Enumeration date
01/31/2014
Last updated
01/31/2014
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