Renita Constance Graham, RD - Dietitian in Fort Jackson, SC

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Renita Constance Graham, RD is a Dietitian, Registered based in Fort Jackson, South Carolina. Renita Constance Graham is licensed to practice in Georgia (license number LD002557) and her current practice location is 4500 Stuart St, Moncrief Army Community Hosptial, Attn: Mcxl-pq, Fort Jackson, South Carolina. She can be reached at her office (for appointments etc.) via phone at (803) 751-2618.

NPI number for Renita Constance Graham is 1295832509 and her current mailing address is 4500 Stuart St, Moncrief Army Community Hosptial, Attn: Mcxl-pq, Fort Jackson, South Carolina. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1295832509.

Contact Information

Renita Constance Graham, RD
4500 Stuart St, Moncrief Army Community Hosptial, Attn: Mcxl-pq,
Fort Jackson, SC 29207-5720
(803) 751-2618
(803) 751-2689

Map and Direction




Healthcare Provider's Profile

Full NameRenita Constance Graham
GenderFemale
SpecialityDietitian, Registered
Location4500 Stuart St, Fort Jackson, South Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1295832509
  • Provider Enumeration Date: 09/20/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Renita Constance Graham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295832509NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered LD002557 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Renita Constance Graham is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Renita Constance Graham, RD
4500 Stuart St, Moncrief Army Community Hosptial, Attn: Mcxl-pq,
Fort Jackson, SC 29207-5720

Ph: (803) 751-2618		Renita Constance Graham, RD
4500 Stuart St, Moncrief Army Community Hosptial, Attn: Mcxl-pq,
Fort Jackson, SC 29207-5720

Ph: (803) 751-2618

Reviews and Comments


Dietitian, Registered in Fort Jackson, SC


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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