Doctor Name: | MIRANDA PRISLAND |
NPI Number: | 1891166831 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD, LD |
License Number: | 1193 |
Business Practice Address: | 1 Medical Park Dr Chester, SC - 297069769 |
Business Phone Number: | 8035813151 |
Business Fax Number: | |
Mailing Address: | 2395 Marett Blvd, ROCK HILL |
State: | SC |
Postal Code: | 297321638 |
Phone Number: | 6087384221 |
Fax Number: | |
NPI Enumeration Date: | 10/16/2015 |
NPI Last Update Date: | 10/16/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 1193 |
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 |