NPI 1386822740 · live from the CMS NPI Registry
Mary Basel, RD
Dietitian, Registered in Charleston, SC. National Provider Identifier 1386822740, active.
NPI record
| NPI | 1386822740 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 169 Ashley Ave, Charleston, SC 29425 |
| Practice phone | 843-792-4100 |
| Mailing address | Po Box 931854, Atlanta, GA 31193 |
| Enumerated | February 7, 2008 |
| Last updated | February 7, 2008 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 684682 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.