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 |