Provider Demographics
NPI:1336835990
Name:HEDLUND, MELISSA (RD,LDN)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:HEDLUND
Suffix:
Gender:F
Credentials:RD,LDN
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:
Other - Last Name:JULIAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD
Mailing Address - Street 1:711 DUTCHMAN CT
Mailing Address - Street 2:
Mailing Address - City:GREER
Mailing Address - State:SC
Mailing Address - Zip Code:29651-9000
Mailing Address - Country:US
Mailing Address - Phone:269-569-5633
Mailing Address - Fax:
Practice Address - Street 1:711 DUTCHMAN CT
Practice Address - Street 2:
Practice Address - City:GREER
Practice Address - State:SC
Practice Address - Zip Code:29651-9000
Practice Address - Country:US
Practice Address - Phone:269-569-5633
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-17
Last Update Date:2023-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered