NPI 1235883141

Mackensie Nicole Miller, RDNLD

Practitioner Registered Dietitian North Charleston, SC

Practice location

Address: 2250 Mall Dr, North Charleston, SC 29406-6563
Phone: (843) 792-1414
Mailing address: 171 Ashley Ave, Charleston, SC 29425-8908

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence 2339 (SC)

Other Dietitian, Registered providers in South Carolina →

Registry record

NPI: 1235883141
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Feb 2022
Record last updated: 9 Feb 2022

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.