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NPI Code Detail

MEDICARE: MARIE J SEEGER RD

MEDICARE:   MARIE J SEEGER  RD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian548SC

General Provider Information

NPI Number : 1720560311
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIE J SEEGER RD
Provider Business Mailing Address
First Line : 1546 GARDENIA RD
Second Line :
City : CHARLESTON
State : SC
Zip : 29407-5212
Country : US
Telephone Number : 843-324-4137
Fax Number :
Provider Business Practice Location Address
First Line : 1546 GARDENIA RD
Second Line :
City : CHARLESTON
State : SC
Zip : 29407-5212
Country : US
Telephone Number : 843-324-4137
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/30/2018
Last Update Date : 08/30/2018

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Directions to “ MARIE J SEEGER RD” Practice Location

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