Carol Green Fenwick, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

Practice address

1514 Mathis Ferry Rd
Suite 207
Mount Pleasant, SC 29464-9728

Phone

(843) 670-1997

Fax

(843) 388-0117

NPI assigned

Mar 1, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305072000000",
    "number": "1699803528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 MATHIS FERRY RD",
            "address_2": "SUITE 207",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294649728",
            "telephone_number": "843-670-1997",
            "fax_number": "843-388-0117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 MATHIS FERRY RD",
            "address_2": "SUITE 207",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294649728",
            "telephone_number": "843-670-1997",
            "fax_number": "843-388-0117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENWICK",
        "first_name": "CAROL",
        "middle_name": "GREEN",
        "name_prefix": "Ms.",
        "credential": "RD, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2011-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIETETICS PRACTICE LICENSE",
            "identifier": "674",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Leslie Fergus, PT
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• Cara Seay Ferguson, M.D.
• Christopher Ferguson, D.O.

• Registered Dietitian in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Registered Dietitian in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.