NPI 1265207583 · live from the CMS NPI Registry
Christina R Bannister, RD
Dietitian, Registered in Charleston, SC. National Provider Identifier 1265207583, active.
NPI record
| NPI | 1265207583 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 25 Courtenay Dr, Charleston, SC 29425 |
| Practice phone | 843-876-2622 |
| Mailing address | 824 Detyens Rd, Mount Pleasant, SC 29464 |
| Enumerated | November 16, 2023 |
| Last updated | November 16, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 252 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.