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NPI Code Detail

MEDICARE: SHEILA NELSON

MEDICARE: SHEILA NELSON
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
1133N00000XNutritionistRC64SC

General Provider Information

NPI Number : 1902752363
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHEILA NELSON
Provider Business Mailing Address
First Line : 2240 DOVER ST
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29405-7939
Country : US
Telephone Number : 843-694-8754
Fax Number : 843-210-8622
Provider Business Practice Location Address
First Line : 2240 DOVER ST
Second Line :
City : NORTH CHARLESTON
State : SC
Zip : 29405-7939
Country : US
Telephone Number : 843-694-8754
Fax Number : 843-210-8622
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2026
Last Update Date : 03/09/2026

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Directions to “ SHEILA NELSON ” Practice Location

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