Most Relevant Information
Provider Data
| NPI Number: | 1003263765 |
| Provider Name: | TRACEY LYNN CAMPBELL MS, RD, LD |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | 1488 |
Most Important Dates
| Enumeration Date: | 05/23/2016 |
| Last Updated: | 05/23/2023 |
Provider Practice Location
2 MEDICAL PARK RD STE 107
COLUMBIA
SC
292036839
Practice Location Phone/Fax
| Phone: | 8034344480 |
| Fax: | 8034343340 |
Provider Mailing Location
300 E MCBEE AVE FL 4
GREENVILLE
SC
296012842
Provider Mailing Phone/Fax
| Phone: | 8645228603 |
| Fax: |