Path Of Life Nutrition

NPI 1245610534 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1245610534
Enumeration Date 06/02/2015
Last Updated 06/02/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name JEREMY T JEREMY
Position OWNER
Phone (803) 575-0468
Fax
Practice Location
401 WESTERN LN STE 8C
IRMO SC, 29063-7953, US
Phone (803) 575-0468
Fax
Business Location
736 SHADOWBROOK DR
COLUMBIA SC, 29210-3751, US
Phone (843) 599-9046
Fax
Toxanomy
Taxonomy Code 133V00000X
License State South Carolina
License Number 638
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According to our database, Path Of Life Nutrition NPI is 1245610534, taxonomy code is 133V00000X and license number is 638, license state is located at South Carolina. Path Of Life Nutrition physically located at 401 Western Ln Ste 8c, Irmo SC, 29063-7953. NPI Number 1033115704 has the healthcare provider type.

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1245610534 NPI number is provided on an as is basis without warranty of any kind. 1245610534 is maintained by the National Plan & Provider Enumeration System. The contents of Path Of Life Nutrition are for informational purposes only.