Carla Rae Nowicki, RD | |
3324 River Dr, Columbia, SC 29201-1305 | |
(919) 412-7746 | |
(803) 296-7330 |
Full Name | Carla Rae Nowicki |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 3324 River Dr, Columbia, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023527835 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 2040 (South Carolina) | Primary |
133V00000X | Dietitian, Registered | L004620 (North Carolina) | Secondary |
Provider Name | Prisma Health Medical Group-midlands |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1275988321 PECOS PAC ID: 5991099707 Enrollment ID: O20160802001226 |
Mailing Address | Practice Location Address |
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Carla Rae Nowicki, RD 3324 River Dr, Columbia, SC 29201-1305 Ph: (919) 412-7746 | Carla Rae Nowicki, RD 3324 River Dr, Columbia, SC 29201-1305 Ph: (919) 412-7746 |
Tracey Lynn Campbell, MS, RD, LD Dietitian Medicare: Medicare Enrolled Practice Location: 2 Medical Park Rd Ste 107, Columbia, SC 29203 Phone: 803-434-4480 Fax: 803-434-3340 | |
Ms. Rebecca Gilliam Wrenn, MS,RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2727 Preston St, Columbia, SC 29205 Phone: 803-765-1635 | |
Jennifer Barnoud, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1338 Main St Apt 1203, Columbia, SC 29201 Phone: 901-218-4160 | |
Rebecca Mcphail Mckenzie, RN, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2000 Hampton St, Columbia, SC 29204 Phone: 803-576-2980 | |
Mrs. Joleen Purpura Alfalahi, RD. LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5 Richland Medical Park Dr, Columbia, SC 29203 Phone: 803-296-2548 Fax: 803-296-2548 | |
Ms. Mary Robin Mullins, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1924 Main St, Columbia, SC 29201 Phone: 803-434-2300 Fax: 803-254-2611 |