Doctor Name: | WANDA W TUTT |
NPI Number: | 1851656243 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LRD |
License Number: | 261 |
Business Practice Address: | 333 Revolutionary Trl Fairfax, SC - 298277109 |
Business Phone Number: | 8036322533 |
Business Fax Number: | 8036323757 |
Mailing Address: | 333 Revolutionary Trl, FAIRFAX |
State: | SC |
Postal Code: | 298277109 |
Phone Number: | 8036322533 |
Fax Number: | 8036323757 |
NPI Enumeration Date: | 07/11/2012 |
NPI Last Update Date: | 07/11/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 261 |
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 |