Sylvia Davis Blyth, R.D., L.D.

Individual provider Active NPI Registered Dietitian · Mt Pleasant, SC

NPI 1649528829 · NPPES record last updated Aug 20, 2012

Key facts

NPI
1649528829
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
300 (SC)
Practice address
1452 Oaklanding Rd
Mt Pleasant, SC 29464-3829
Phone
(843) 670-1488
NPI assigned
Aug 20, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 300 SC Yes

Addresses

Primary practice location

1452 Oaklanding Rd
Mt Pleasant, SC 29464-3829

Mailing address

1452 Oaklanding Rd
Mt Pleasant, SC 29464-3829
Phone (843) 670-1488

Other providers in Mt Pleasant, SC

All providers in Mt Pleasant, SC · Registered Dietitian in South Carolina

Sources for this page

Verify at the official NPI Registry.