Healthcare Provider Details

I. General information

NPI: 1346373727
Provider Name (Legal Business Name): DEBORAH ZIPPEL MS, RD, LD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/14/2007
Last Update Date: 02/15/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6439 GARNERS FERRY RD WJB DORN VA MEDICAL CENTER
COLUMBIA SC
29209-1638
US

IV. Provider business mailing address

6439 GARNERS FERRY RD WJB DORN VA MEDICAL CENTER
COLUMBIA SC
29209-1638
US

V. Phone/Fax

Practice location:
  • Phone: 803-608-9774
  • Fax:
Mailing address:
  • Phone: 803-608-9774
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: