Healthcare Provider Details

I. General information

NPI: 1003734088
Provider Name (Legal Business Name): DONNA RAE ZIEMER DITZEL RN,RD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DONNA ZIEMER-DITZEL

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26 TULL ST
GREER SC
29651-1979
US

IV. Provider business mailing address

26 TULL ST
GREER SC
29651-1979
US

V. Phone/Fax

Practice location:
  • Phone: 864-800-9980
  • Fax:
Mailing address:
  • Phone: 864-800-9980
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number3726
License Number StateSC
# 2
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number1820
License Number StateMN
# 3
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1657203
License Number StateMN
# 4
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number285951
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: