NPI 1003263765 · live from the CMS NPI Registry
Tracey Lynn Campbell, MS, RD, LD
Dietitian, Registered in Columbia, SC. National Provider Identifier 1003263765, active.
NPI record
| NPI | 1003263765 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 2 Medical Park Rd Ste 107, Columbia, SC 29203 |
| Practice phone | 803-434-4480 |
| Mailing address | 300 E Mcbee Ave Fl 4, Greenville, SC 29601 |
| Enumerated | May 23, 2016 |
| Last updated | May 23, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 1488 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.