Individual provider · Type 1 NPI
Clint Cheeseboro
Meals Provider · Irmo, SC
NPI number
1801711692
Active
Practice location
100 Riverwalk Way
Irmo, SC 29063-9321
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Meals Provider Primary | 174200000X | None listed |
Meals Provider: A public or privately owned facility providing meals to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
About NPI 1801711692
Clint Cheeseboro's National Provider Identifier is 1801711692, issued on Aug 11, 2026. The primary taxonomy on file is Meals Provider (174200000X), and the practice location is in Irmo, SC. The record was last updated on Oct 16, 2026.