Basic Information
Provider Information
NPI: 1477696342
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: MORGANS
FirstName: RACHEL
MiddleName: ELISABETH
NamePrefix:  
NameSuffix:  
Credential: RD, LDN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 4500 STUART ST
Address2: ATTN MCXL PQ CREDENTIALS
City: COLUMBIA
State: SC
PostalCode: 292075700
CountryCode: US
TelephoneNumber: 8037512618
FaxNumber: 8037512689
Practice Location
Address1: 4500 STUART ST
Address2: MONCRIEF ARMY COMMUNITY HOSPITAL ATTN MCXL PQ
City: COLUMBIA
State: SC
PostalCode: 292075700
CountryCode: US
TelephoneNumber: 8037512618
FaxNumber: 8037512689
Other Information
ProviderEnumerationDate: 02/14/2007
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
133V00000XDN003678PAY Dietary & Nutritional Service ProvidersDietitian, Registered 

No ID Information.


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