Michele Marie Reynolds RD

NPI 1619154697 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1619154697
Gender Female
Enumeration Date 01/22/2008
Last Updated 01/22/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
293 GREYSTONE BLVD
PALMETTO HEALTH GREYSTONE
COLUMBIA SC, 29210, US
Phone (803) 296-2548
Fax (803) 296-2548
Business Location
9 MEDICAL PARK STE 600
PALMETTO HEALTH RICHLAND
COLUMBIA SC, 29203, US
Phone (803) 296-2548
Fax (803) 296-2548
Toxanomy
Taxonomy Code 133V00000X
License State South Carolina
License Number 922938
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According to our database, Michele Marie Reynolds RD NPI is 1619154697, taxonomy code is 133V00000X and license number is 922938, license state is located at South Carolina. Michele Marie Reynolds RD physically located at 293 Greystone Blvd, Columbia SC, 29210. NPI Number Michele Marie Reynolds RD has the Individual type.

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1619154697 NPI number is provided on an as is basis without warranty of any kind. 1619154697 is maintained by the National Plan & Provider Enumeration System. The contents of Michele Marie Reynolds RD are for informational purposes only.