Provider Demographics
NPI:1700360252
Name:MILNE, CAITLIN JASMINE (RDN, LDN)
Entity Type:Individual
Prefix:
First Name:CAITLIN
Middle Name:JASMINE
Last Name:MILNE
Suffix:
Gender:F
Credentials:RDN, LDN
Other - Prefix:
Other - First Name:CATE
Other - Middle Name:
Other - Last Name:MILNE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RDN, LDN
Mailing Address - Street 1:9 ALTAMONT CT
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29609-6600
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:701 GROVE RD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29605-4210
Practice Address - Country:US
Practice Address - Phone:662-397-3691
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-20
Last Update Date:2018-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1844133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered