Provider Demographics
NPI:1598197295
Name:DAWS, SANDRA E (RDN, LD)
Entity Type:Individual
Prefix:
First Name:SANDRA
Middle Name:E
Last Name:DAWS
Suffix:
Gender:F
Credentials:RDN, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:612 MCLEAN DR
Mailing Address - Street 2:
Mailing Address - City:DILLON
Mailing Address - State:SC
Mailing Address - Zip Code:29536-2636
Mailing Address - Country:US
Mailing Address - Phone:843-774-3387
Mailing Address - Fax:
Practice Address - Street 1:612 MCLEAN DR
Practice Address - Street 2:
Practice Address - City:DILLON
Practice Address - State:SC
Practice Address - Zip Code:29536-2636
Practice Address - Country:US
Practice Address - Phone:843-774-3387
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-05
Last Update Date:2020-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC510133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered