Provider Demographics
NPI:1467937656
Name:JONES, BRITTANY LAI (MS, RD, LD)
Entity Type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:LAI
Last Name:JONES
Suffix:
Gender:F
Credentials:MS, RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:743 CONGAREE RD STE 2
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29607-3559
Mailing Address - Country:US
Mailing Address - Phone:864-729-3321
Mailing Address - Fax:
Practice Address - Street 1:743 CONGAREE RD STE 2
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607-3559
Practice Address - Country:US
Practice Address - Phone:864-729-3321
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-03
Last Update Date:2018-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC987133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty