NPI 1215199575 · live from the CMS NPI Registry
Shon Marie Calloway, RD, LDN
Dietitian, Registered in Rock Hill, SC. National Provider Identifier 1215199575, active.
NPI record
| NPI | 1215199575 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 1518 Bellridge Rd, Rock Hill, SC 29732 |
| Practice phone | 803-329-4582 |
| Enumerated | June 27, 2008 |
| Last updated | June 27, 2008 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 875130 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.