Provider Demographics
NPI:1346680592
Name:COWN, CHRISTINA (RD, LD)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:
Last Name:COWN
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 FALLS VIEW DR
Mailing Address - Street 2:
Mailing Address - City:PICKENS
Mailing Address - State:SC
Mailing Address - Zip Code:29671-8383
Mailing Address - Country:US
Mailing Address - Phone:864-918-4350
Mailing Address - Fax:
Practice Address - Street 1:17 TOY ST
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29601-3122
Practice Address - Country:US
Practice Address - Phone:864-918-4350
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-02
Last Update Date:2013-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC909133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered