NPI 1861830101 · live from the CMS NPI Registry
Phyllis A Allen
Dietitian, Registered in Columbia, SC. National Provider Identifier 1861830101, active.
NPI record
| NPI | 1861830101 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 4010 N Main St, Suite 2, Columbia, SC 29203 |
| Practice phone | 803-786-0559 |
| Enumerated | June 10, 2013 |
| Last updated | June 10, 2013 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 3 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.