Doctor Name: | SUSANNE H HENDRICKS |
NPI Number: | 1003125402 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D. |
License Number: | |
Business Practice Address: | 109 Bee St Charleston, SC - 294015703 |
Business Phone Number: | 8435775011 |
Business Fax Number: | |
Mailing Address: | 1596 Sanford Rd, CHARLESTON |
State: | SC |
Postal Code: | 294076953 |
Phone Number: | 8434029325 |
Fax Number: | |
NPI Enumeration Date: | 10/02/2010 |
NPI Last Update Date: | 10/02/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |