| Monique Idelette-louw Stafford, RD | |
|
1131 Saluda St, Rock Hill, SC 29730-5776 | |
| (803) 325-8742 | |
| Not Available |
| Full Name | Monique Idelette-louw Stafford |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 1131 Saluda St, Rock Hill, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194447250 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | L007003 (North Carolina) | Secondary |
| 133V00000X | Dietitian, Registered | 2510 (South Carolina) | Primary |
| Provider Name | Community Medicine Foundation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1528004918 PECOS PAC ID: 4880687490 Enrollment ID: O20040407001159 |
| Mailing Address | Practice Location Address |
|---|---|
| Monique Idelette-louw Stafford, RD 431 Ebenezer Ave, Rock Hill, SC 29730-3539 Ph: (864) 423-9937 | Monique Idelette-louw Stafford, RD 1131 Saluda St, Rock Hill, SC 29730-5776 Ph: (803) 325-8742 |
Mrs. Chivonne Hunter, M.S, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 222 S Herlong Ave, Rock Hill, SC 29732 Phone: 803-329-6886 | |
Mrs. Elizabeth A Weikle, M.S.,R.D. Dietitian Medicare: Accepting Medicare Assignments Practice Location: 2138 Cavendale Dr, Rock Hill, SC 29732 Phone: 803-329-2640 | |
Mrs. Shon Marie Calloway, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1518 Bellridge Rd, Rock Hill, SC 29732 Phone: 803-329-4582 | |
Mary Katherine Powers, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1721 Ebenezer Rd Ste 145, Rock Hill, SC 29732 Phone: 803-328-2401 | |
Cassandra Zahara Rutherford, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4468 Deer Run, Rock Hill, SC 29732 Phone: 217-691-5535 | |
Lasinda Orr, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 500 Lakeshore Pkwy, Rock Hill, SC 29730 Phone: 803-909-6363 Fax: 803-909-6364 |