Provider Demographics
NPI:1750989364
Name:SLEDDEN, CAROLINE (RDN, LDN)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:
Last Name:SLEDDEN
Suffix:
Gender:F
Credentials:RDN, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4003 HARTNETT BLVD APT 2
Mailing Address - Street 2:
Mailing Address - City:ISLE OF PALMS
Mailing Address - State:SC
Mailing Address - Zip Code:29451-2537
Mailing Address - Country:US
Mailing Address - Phone:202-210-5231
Mailing Address - Fax:
Practice Address - Street 1:4003 HARTNETT BLVD APT 2
Practice Address - Street 2:
Practice Address - City:ISLE OF PALMS
Practice Address - State:SC
Practice Address - Zip Code:29451-2537
Practice Address - Country:US
Practice Address - Phone:202-210-5231
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-15
Last Update Date:2020-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC86168576133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered