Healthcare Provider Details

I. General information

NPI: 1679847511
Provider Name (Legal Business Name): EDNA COX RICE RDN, CSG, LDN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MRS. EDNA COX

II. Dates (important events)

Enumeration Date: 02/23/2012
Last Update Date: 02/20/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

407 WEST MAIN STREET
LEXINGTON SC
29072
US

IV. Provider business mailing address

407 WEST MAIN STREET
LEXINGTON SC
29072
US

V. Phone/Fax

Practice location:
  • Phone: 803-996-0312
  • Fax: 803-957-2496
Mailing address:
  • Phone: 803-996-0312
  • Fax: 803-957-2496

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number147
License Number StateSC
# 4
Primary TaxonomyN
Taxonomy Code133VN1005X
TaxonomyRenal Nutrition Registered Dietitian
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: