NPI 1417404302
Ellen J Matheson Functional Wellness Solutions, LLC
Practice location
- Address
- 621 Wappoo Rd Seed of Life Collective, Charleston, SC 29407-1800
- Phone
- (843) 410-8567
- Mailing address
- 2948 Cathedral Ln, Charleston, SC 29414-7309
Authorised official
- Name
- Ellen J Matheson
- Title
- Certified Nutrition Specialist
- Phone
- (843) 410-8567
Registered specialties (2)
Nutrition Education Nutritionist
Primary
Health Educator
Registry record
- NPI
- 1417404302
- Entity type
- Organization
- NPI issued
- 8 Sep 2016
- Record last updated
- 8 Sep 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.