Provider Demographics
NPI:1841917283
Name:VARNEY, CORDIA CHASSIDY
Entity type:Individual
Prefix:
First Name:CORDIA
Middle Name:CHASSIDY
Last Name:VARNEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2527 FESSIONAL DR
Mailing Address - Street 2:
Mailing Address - City:HARTSVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29550-8244
Mailing Address - Country:US
Mailing Address - Phone:803-420-1912
Mailing Address - Fax:
Practice Address - Street 1:1103 W CAROLINA AVE STE C
Practice Address - Street 2:
Practice Address - City:HARTSVILLE
Practice Address - State:SC
Practice Address - Zip Code:29550-4457
Practice Address - Country:US
Practice Address - Phone:803-420-1912
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-26
Last Update Date:2023-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No133N00000XDietary & Nutritional Service ProvidersNutritionist
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education