Provider Demographics
NPI:1285222802
Name:SEPRISH, ERIN (MBA, RDN, LD)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:
Last Name:SEPRISH
Suffix:
Gender:F
Credentials:MBA, RDN, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2626 DOUBLETREE CT
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29414-5183
Mailing Address - Country:US
Mailing Address - Phone:843-847-1628
Mailing Address - Fax:
Practice Address - Street 1:1 CARRIAGE LN STE E-110
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-6060
Practice Address - Country:US
Practice Address - Phone:512-273-7792
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-08
Last Update Date:2021-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2003133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered