Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RENITA CONSTANCE GRAHAM, RD
Active Sole ProprietorRENITA CONSTANCE GRAHAM, RD is a Registered Dietitian healthcare provider located in FORT JACKSON, South Carolina. NPI 1295832509 is currently active in the NPPES registry. Verify at CMS.
Registered Dietitian · FORT JACKSON, SC
Registration Details
- NPI Number
- 1295832509
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 20, 2006 (19.871853231017 yrs)
- Last Updated
- Jul 8, 2007
- License
-
LD002557 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4500 STUART STMONCRIEF ARMY COMMUNITY HOSPTIAL, ATTN: MCXL-PQFORT JACKSON, SC, 292075720Browse SC providers · Browse ZIP 29207
- Phone
- 8037512618
- Fax
- 8037512689
- Primary Specialty
-
Registered Dietitian
133V00000X
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.