| NPI | 1922245810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL ISAAC MITCHELL Medical Director 803-462-9710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: SC 220) |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2009-01-14 |