| Elise Marcela Rodriguez, MS, RDN, LD | |
|
165 Ashley Ave Ste 603e, Charleston, SC 29425-8905 | |
| (843) 792-4717 | |
| Not Available |
| Full Name | Elise Marcela Rodriguez |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 165 Ashley Ave Ste 603e, Charleston, 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 |
|---|---|---|---|
| 1649810953 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (South Carolina) | Secondary |
| 133V00000X | Dietitian, Registered | 2017 (South Carolina) | Primary |
| Provider Name | University Medical Associates |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1043241110 PECOS PAC ID: 6305758574 Enrollment ID: O20031105000291 |
| Provider Name | Medical University Hospital Authority |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1255305876 PECOS PAC ID: 1557268950 Enrollment ID: O20031215000499 |
| Mailing Address | Practice Location Address |
|---|---|
| Elise Marcela Rodriguez, MS, RDN, LD Po Box 751461, Charlotte, NC 28275-1461 Ph: (843) 792-6200 | Elise Marcela Rodriguez, MS, RDN, LD 165 Ashley Ave Ste 603e, Charleston, SC 29425-8905 Ph: (843) 792-4717 |
Susanne H Hendricks, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 109 Bee St, Charleston, SC 29401 Phone: 843-577-5011 | |
Mrs. Amy Bilbo, MS, RD, LD, CNSC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 165 Ashley Ave, Msc 905, Charleston, SC 29425 Phone: 843-876-7271 | |
Madison Locke, RDN, LD Dietitian Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 | |
Mrs. Debra Petitpain, MS, LD, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 25 Courtenay Dr, Msc 290, Ste7100a, Charleston, SC 29425 Phone: 843-876-4867 | |
Mrs. Cecilia Kennedy Mcmillan, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 165 Ashley Ave, Suite Eh1108, Charleston, SC 29425 Phone: 843-792-9774 | |
James Peter Klauder, RD, LDN Dietitian Medicare: Medicare Enrolled Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-9704 | |
Keely Flynn Hudgins, MPH,RD, LD Dietitian Medicare: Medicare Enrolled Practice Location: 2093 Henry Tecklenburg Dr Ste 202e, Charleston, SC 29414 Phone: 843-958-2590 Fax: 843-402-1972 |