IndividualActive
Stacy Fairey, RDN
NPI 1033739214 · Sports Dietetics Nutrition Registered Dietitian · Johns Island, SC
Provider details
- NPI number
- 1033739214
- Entity type
- Individual
- Primary specialty
- Sports Dietetics Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- RDN
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
1805 Clark Hills Cir
Johns Island, SC 29455-7603
Phone: (843) 860-0683
Approximate (ZIP-level) locationGet directions
Mailing address
1805 Clark Hills Cir
Johns Island, SC 29455-7603
Registry dates
- Enumerated
- 2020-04-17
- Last updated
- 2020-04-17
- Certified
- 2020-04-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.