Doctor Name: | JILLIAN RUTH BUTT |
NPI Number: | 1689007551 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | 963 |
Business Practice Address: | 9330 Medical Plaza Dr Charleston, SC - 294069104 |
Business Phone Number: | 8438474973 |
Business Fax Number: | |
Mailing Address: | 2235 Ashley Crossing Dr, Apartment 8h CHARLESTON |
State: | SC |
Postal Code: | 294145779 |
Phone Number: | 2675660983 |
Fax Number: | |
NPI Enumeration Date: | 08/15/2013 |
NPI Last Update Date: | 08/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 963 |
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 |