Mary Basel, RD
Individual provider Active NPI Registered Dietitian · Charleston, SC
NPI 1386822740 · NPPES record last updated Feb 7, 2008
Key facts
- NPI
- 1386822740
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 684682 (SC)
- Practice address
- 169 Ashley Ave
Charleston, SC 29425-8905 - Phone
- (843) 792-4100
- NPI assigned
- Feb 7, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 684682 | SC | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 684682 | SC | Yes |
Addresses
Primary practice location
169 Ashley Ave
Charleston, SC 29425-8905
Mailing address
PO Box 931854
Atlanta, GA 31193-1854
Phone (843) 792-2300
Other providers in Charleston, SC
- Tyler Bartolazzi
- Kelly Marie Barton
- Patrick Barton
- Walter S Bartynski
- William T Basco Jr.
- Jan Neil Basile
- Jeffrey M Basile
- Annie Bass
- Bailey Bradford Bass
- Eric Clinton Bass
All providers in Charleston, SC · Registered Dietitian in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.