Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Miss. Courtney Lynne Fuller, RD

Individual provider Registered Dietitian · NPI 1952064511

Miss. Courtney Lynne Fuller, RD is a Registered Dietitian in Conway, South Carolina. Practices as a sole proprietor. Licensed in South Carolina.

Licensed in
SC
In the registry since
2021
Specialties on file
2
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

300 Singleton Ridge Rd
Conway, SC 29526-9142
Phone: (843) 347-8190
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 2252 (SC)
Registered Dietitian Taxonomy 133V00000X · Licence 86168015 (SC)

Record details

NPI number1952064511
Entity typeIndividual (Type 1)
GenderFemale
Credentials RD
Sole proprietorYes
NPI enumeratedOctober 20, 2021
Last updated in NPPESFebruary 8, 2022
Certification dateFebruary 8, 2022

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