NPI 1295375046 · live from the CMS NPI Registry
Courtney Blackmon, RD LD
Dietitian, Registered in Columbia, SC. National Provider Identifier 1295375046, active.
NPI record
| NPI | 1295375046 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 209 Southwood Dr, Columbia, SC 29205 |
| Practice phone | 642-764-4718 |
| Enumerated | January 9, 2020 |
| Last updated | January 9, 2020 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.