| Doctor Name: | MS. ELYSE ALEXANDRA SHEARER |
| NPI Number: | 1073826137 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, RD, LD |
| License Number: | LRD.846 RD |
| Business Practice Address: | 22725 Highway 76 E Clinton, SC - 293257527 |
| Business Phone Number: | 8648339369 |
| Business Fax Number: | |
| Mailing Address: | 10 Capewood Rd, Apt. 225 SIMPSONVILLE |
| State: | SC |
| Postal Code: | 296802701 |
| Phone Number: | 7165234326 |
| Fax Number: | |
| NPI Enumeration Date: | 07/19/2010 |
| NPI Last Update Date: | 07/19/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | LRD.846 RD |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| 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 |