NPI 1396514501 · live from the CMS NPI Registry
Shannon Mahoney Cottrell, RD, LD
Dietitian, Registered in Greenville, SC. National Provider Identifier 1396514501, active.
NPI record
| NPI | 1396514501 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 701 Grove Rd, Greenville, SC 29605 |
| Practice phone | 864-455-3879 |
| Mailing address | 305 Crestwood Dr, Mauldin, SC 29662 |
| Enumerated | December 28, 2023 |
| Last updated | December 28, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 2181 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.