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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. COLLEEN ANN WRACKER, RD,LD,CDE

Active Sole Proprietor

MRS. COLLEEN ANN WRACKER, RD,LD,CDE is a Metabolic Nutrition healthcare provider located in COLUMBIA, South Carolina. NPI 1831528116 is currently active in the NPPES registry. Verify at CMS.

Metabolic Nutrition · COLUMBIA, SC

Registration Details

NPI Number
1831528116
Provider Type
Individual
Gender
Female
NPI Issued
Nov 6, 2013 (12.725504172139 yrs)
Last Updated
Feb 6, 2017
License
339 (SC)
Sole Proprietor
Yes

Practice Information

Address
6439 GARNERS FERRY RD
COLUMBIA, SC, 292091638
Browse SC providers · Browse ZIP 29209
Phone
8037764000
Primary Specialty
Metabolic Nutrition
133VN1006X
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.