NPI 1922748276 · live from the CMS NPI Registry
Betty Hicks Lrd RN LLC
Dietitian, Registered, Nutrition, Renal in Fort Mill, SC. National Provider Identifier 1922748276, active.
NPI record
| NPI | 1922748276 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered, Nutrition, Renal 133VN1005X |
| Practice location | 130 Blandina Ct, Fort Mill, SC 29708 |
| Practice phone | 803-448-7894 |
| Enumerated | April 1, 2022 |
| Last updated | April 1, 2022 |
| Authorized official | Betty Hicks, Owner/Provider |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered, Nutrition, Renal primary | 133VN1005X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.