Individual
MRS. CAITLIN WHITE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD
Contact information
Practice address
30 BLUE TRAIL CT, BLUFFTON, SC 29910-9596
(757) 339-3875
Mailing address
30 BLUE TRAIL CT, BLUFFTON, SC 29910-9596
(757) 339-3875
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1162
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1162
SOUTH CAROLINA DEPARTMENT OF LABOR, LICENSING & REGULATION
SC
Enumeration date
02/04/2020
Last updated
02/04/2020
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