NPI 1982285854 · live from the CMS NPI Registry
Taylor Clubb, RD, LD
Dietitian, Registered in Charleston, SC. National Provider Identifier 1982285854, active.
NPI record
| NPI | 1982285854 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 171 Ashley Ave, Charleston, SC 29425 |
| Practice phone | 828-989-9758 |
| Enumerated | April 21, 2021 |
| Last updated | April 21, 2021 |
| Sole proprietor | No |
| Other names | Taylor Miles |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 2193 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.