NPI 1124704861 · live from the CMS NPI Registry
Cara Anne Cooper
Dietitian, Registered in Charleston, SC. National Provider Identifier 1124704861, active.
NPI record
| NPI | 1124704861 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 1518 Clark Sound Cir, Charleston, SC 29412 |
| Practice phone | 843-793-8560 |
| Enumerated | June 27, 2023 |
| Last updated | June 27, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 1411 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.