MEDICARE: MEGAN ANGELA MARIE WILLIAMS MORAIS 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
1	133V00000X	Registered Dietitian	86131445	CA

General Provider Information

NPI Number	:	1871261628
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN ANGELA MARIE WILLIAMS MORAIS RDN

Provider Business Mailing Address
First Line	:	1224 TICE LN
Second Line	:
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29405-6867
Country	:	US
Telephone Number	:	909-705-6750
Fax Number	:

Provider Business Practice Location Address
First Line	:	1224 TICE LN
Second Line	:
City	:	NORTH CHARLESTON
State	:	SC
Zip	:	29405-6867
Country	:	US
Telephone Number	:	909-705-6750
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/04/2021
Last Update Date	:	01/20/2026

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