Provider Demographics
NPI:1649141540
Name:LEDUC, CHRISTINE H (RD)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:H
Last Name:LEDUC
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 INKA CT
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29607-5171
Mailing Address - Country:US
Mailing Address - Phone:804-241-1213
Mailing Address - Fax:
Practice Address - Street 1:7 INKA CT
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607-5171
Practice Address - Country:US
Practice Address - Phone:804-241-1213
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-15
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCLRD.2832133V00000X
KS2905133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered