Provider Demographics
NPI:1720560311
Name:SEEGER, MARIE J (RD)
Entity Type:Individual
Prefix:
First Name:MARIE
Middle Name:J
Last Name:SEEGER
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1546 GARDENIA RD
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29407-5212
Mailing Address - Country:US
Mailing Address - Phone:843-324-4137
Mailing Address - Fax:
Practice Address - Street 1:1546 GARDENIA RD
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-5212
Practice Address - Country:US
Practice Address - Phone:843-324-4137
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-30
Last Update Date:2018-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC548133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered