NPI 1649872102 · live from the CMS NPI Registry
Brian Collins
Dietitian, Registered in Clover, SC. National Provider Identifier 1649872102, active.
NPI record
| NPI | 1649872102 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 1012 Barcelona Pl, Clover, SC 29710 |
| Practice phone | 336-509-1126 |
| Enumerated | November 10, 2020 |
| Last updated | December 18, 2020 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered | 133V00000X | L006279 (NC) |
| Dietitian, Registered primary | 133V00000X | L2134 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.