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NPI 1245646090 · live from the CMS NPI Registry

Shirley Caldwell-Glover

Dietitian, Registered in Columbia, SC. National Provider Identifier 1245646090, active.

NPI record

NPI1245646090 Type 1 · individual
StatusActive
Primary specialtyDietitian, Registered 133V00000X
Practice location2000 Hampton St, Columbia, SC 29204
Practice phone803-576-2956
EnumeratedJuly 1, 2014
Last updatedJuly 9, 2014
Sole proprietorYes

Taxonomies and licenses

TaxonomyCodeLicense
Dietitian, Registered primary133V00000X253 (SC)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.