| Nutrition Iam Llc | |
|
417 S Jeffords St Florence SC 29506-3129 | |
| (706) 627-5864 | |
| Not Available |
| Full Name | Nutrition Iam Llc |
|---|---|
| Speciality | Dietitian, Registered - Nutrition, Renal |
| Location | 417 S Jeffords St, Florence, South Carolina |
| Authorized Official Name and Position | Iris Abigial Mcduffie (REGISTERED DIETITIAN NUTRITIONIST) |
| Authorized Official Contact | 7066275864 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nutrition Iam Llc 417 S Jeffords St Florence SC 29506-3129 Ph: (706) 627-5864 | Nutrition Iam Llc 417 S Jeffords St Florence SC 29506-3129 Ph: (706) 627-5864 |
| NPI Number | 1578201950 |
|---|---|
| Provider Enumeration Date | 05/25/2022 |
| Last Update Date | 05/25/2022 |
| Certification Date | 05/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578201950 | NPI | - | NPPES |
| DT1134 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 133VN1005X | Dietitian, Registered - Nutrition, Renal | (* (Not Available)) | Primary |
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