IndividualActive
Judith Nicholls, MBA
NPI 1790017408 · Nutrition Education Nutritionist · Myrtle Beach, SC
Provider details
- NPI number
- 1790017408
- Entity type
- Individual
- Primary specialty
- Nutrition Education NutritionistDietary & Nutritional Service Providers
- Credential
- MBA
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
507 Robert M Grissom Pkwy
Myrtle Beach, SC 29577-6576
Phone: (843) 448-4222
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1305
Myrtle Beach, SC 29578-1305
Registry dates
- Enumerated
- 2010-02-04
- Last updated
- 2010-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.