Stephanie Rogers Bishop, RD

Individual provider Active NPI Registered Dietitian · Florence, SC

NPI 1669802179 · NPPES record last updated Aug 6, 2014

Key facts

NPI
1669802179
Entity type
Individual (NPI type 1)
Primary specialty
Registered Dietitian 133V00000X
License
1125 (SC)
Practice address
555 E Cheves St
Florence, SC 29506-2617
Phone
(843) 777-2127
NPI assigned
Nov 19, 2013
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)
Yes

State licenses

LicenseStateTypeSpecialty
1125SCMDClinical Psychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1125 SC Yes

Addresses

Primary practice location

555 E Cheves St
Florence, SC 29506-2617

Mailing address

555 E Cheves St
Florence, SC 29506-2617
Phone (843) 777-2127

Other providers in Florence, SC

All providers in Florence, SC · Registered Dietitian in South Carolina

Sources for this page

Verify at the official NPI Registry.