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Individual

MS. CAROLINE GREEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDN, LDN

Contact information

Practice address
2720 SUNSET BLVD, WEST COLUMBIA, SC 29169-4810
(803) 791-2000
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
ND7974
FL
133V00000X
Registered Dietitian
Primary
1634
SC
133V00000X
Registered Dietitian
ND7974
FL

Other

Enumeration date
10/25/2017
Last updated
01/19/2024
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