Individual
SANDRA DIETRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
6439 GARNERS FERRY RD, COLUMBIA, SC 29209-1638
(803) 776-4000
Mailing address
20 NOB HILL RD, COLUMBIA, SC 29210-5717
(803) 315-1346
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
07/21/2006
Last updated
07/08/2007
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