Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACY M FAIREY, RDN
ActiveSports Dietetics · JOHNS ISLAND, SC
Registration Details
- NPI Number
- 1033739214
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 17, 2020 (6.0145036133039 yrs)
- Last Updated
- Apr 17, 2020
Practice Information
- Address
-
1805 CLARK HILLS CIRJOHNS ISLAND, SC, 294557603Browse SC providers · Browse ZIP 29455
- Phone
- 8438600683
- Primary Specialty
-
Sports Dietetics
133VN1501X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.