NPI 1053938795 · live from the CMS NPI Registry
Michelle Thomas Brown, RD
Dietitian, Registered in Moncks Corner, SC. National Provider Identifier 1053938795, active.
NPI record
| NPI | 1053938795 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 3508 S Live Oak Dr, Moncks Corner, SC 29461 |
| Practice phone | 843-958-2590 |
| Mailing address | Po Box 751649, Charlotte, NC 28275 |
| Enumerated | June 29, 2020 |
| Last updated | April 16, 2025 |
| Sole proprietor | No |
| Other names | Michelle Grossman |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 1982 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.