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NPI Code Detail

MEDICARE: CHRISTINA ELIZABETH GOVER-O'DONNELL M.S., CDCES, RDN

MEDICARE: CHRISTINA ELIZABETH GOVER-O'DONNELL M.S., CDCES, RDN
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 DietitianLRD.2143.RDSC

General Provider Information

NPI Number : 1154288637
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA ELIZABETH GOVER-O'DONNELL M.S., CDCES, RDN
Provider Business Mailing Address
First Line : 2097 HENRY TECKLENBURG DR STE 309
Second Line :
City : CHARLESTON
State : SC
Zip : 29414-5744
Country : US
Telephone Number : 843-402-1337
Fax Number : 843-402-1236
Provider Business Practice Location Address
First Line : 2097 HENRY TECKLENBURG DR STE 309
Second Line :
City : CHARLESTON
State : SC
Zip : 29414-5744
Country : US
Telephone Number : 843-402-1337
Fax Number : 843-402-1236
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2026
Last Update Date : 01/07/2026

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Directions to “ CHRISTINA ELIZABETH GOVER-O'DONNELL M.S., CDCES, RDN” Practice Location

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