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NPI Code Detail

MEDICARE: CAROLYN Z KARAGEORGIOU MPH, RD, LD

MEDICARE: CAROLYN Z KARAGEORGIOU MPH, RD, LD
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 Dietitian150SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1150OTHERSCLICENSED DIETITIAN
2576000286OTHERSCSC DEPARTMENT OF HEALTH AND ENVIRONMENTAL CONTROL
3RD 383908OTHERLICENSE #

General Provider Information

NPI Number : 1407952112
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROLYN Z KARAGEORGIOU MPH, RD, LD
Provider Business Mailing Address
First Line : 200 UNIVERSITY RDG
Second Line :
City : GREENVILLE
State : SC
Zip : 29601-3635
Country : US
Telephone Number : 864-372-3071
Fax Number : 864-282-4394
Provider Business Practice Location Address
First Line : 200 UNIVERSITY RDG
Second Line :
City : GREENVILLE
State : SC
Zip : 29601-3635
Country : US
Telephone Number : 864-372-3071
Fax Number : 864-282-4394
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2006
Last Update Date : 07/01/2014

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