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NPI 1356223366 · live from the CMS NPI Registry

Addison Segars Carraway, MS, RD, LD

Dietitian, Registered in Florence, SC. National Provider Identifier 1356223366, active.

NPI record

NPI1356223366 Type 1 · individual
StatusActive
Primary specialtyDietitian, Registered 133V00000X
Practice location805 Pamplico Hwy, Florence, SC 29505
Practice phone843-674-4796
Mailing addressPo Box 23321, New York, NY 10087
EnumeratedJuly 22, 2025
Last updatedJuly 22, 2025
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Dietitian, Registered primary133V00000X3317 (SC)

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