NPI 1679398549 · live from the CMS NPI Registry
Rachael Mae Cooper, RD,LD
Dietitian, Registered in Little River, SC. National Provider Identifier 1679398549, active.
NPI record
| NPI | 1679398549 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 3465 Sandler Blvd Unit 5208, Little River, SC 29566 |
| Practice phone | 910-899-8962 |
| Enumerated | November 18, 2024 |
| Last updated | November 18, 2024 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 2905 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.