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Contact Information

AMANDA PETERSON, RD
25 COURTENAY DRIVE, SUITE 7100A MSC 290
MEDICAL UNIVERSITY OF SOUTH CAROLINA
CHARLESTON, SC29425
 Phone: 843-876-4867
 Fax: 610-568-3139
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for AMANDA PETERSON · (Female)

NPI Number 1528328275
Status Active
Credentials RD (Registered Dietitian)
Entity Individual
Enumeration date 05/29/2012
Last updated 01/14/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • SC License # 1219
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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