NPI 1053752683 · live from the CMS NPI Registry
Yaw Boateng, R.D., C.D.E.
Dietitian, Registered in Orangeburg, SC. National Provider Identifier 1053752683, active.
NPI record
| NPI | 1053752683 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 3310 Magnolia St, Orangeburg, SC 29115 |
| Practice phone | 803-531-6900 |
| Enumerated | July 11, 2013 |
| Last updated | January 3, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 382 (SC) |
| Nutritionist, Nutrition, Education | 133NN1002X | 382 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.