Mary Ann B Florestan in Marietta - Dietitian, Registered
Mary Ann B Florestan - NPI 1477610095
Mary Ann B Florestan is a Dietitian, Registered in Marietta, Georgia. Mary Ann B Florestan practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Mary Ann B Florestan is 1477610095. The last update date is 2007-07-08.
Mary Ann B Florestan's current location address is 4757 Canton Rd, Ne, Marietta, Georgia. You can contact this provider via phone number 7705170105 and fax number 7705170105. The mailing address for Mary Ann B Florestan is 4757 Canton Rd, Ne, Marietta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Ann B Florestan |
|---|---|
| Address | 4757 Canton Rd, Ne, Marietta, Georgia |
| Phone Number | 7705170105 |
| Fax Number | 7705170105 |
| Sole Proprietor | Y |
| Credentials | RD, LD |
NPI Number Detail
| NPI Number | 1477610095 |
|---|---|
| Provider Enumeration Date | 2007-01-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4757 Canton Rd, Ne |
|---|---|
| City | Marietta |
| State | Georgia (GA) |
| Post Code | 300663234 |
| Phone Number | 7705170105 |
| Fax Number | 7705170105 |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
| Licence No | 1660 |
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Definition: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10040673 | GA | AMERIGROUP | |
| 332644 | GA | WELLCARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Mary Ann B Florestan by the Centers for Medicare & Medicaid Services?
The Mary Ann B Florestan has been issued the NPI (National Provider Identifier) 1477610095 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Mary Ann B Florestan?
The Mary Ann B Florestan is situated at 4757 Canton Rd, Ne, in the city of Marietta, state of GA, with the zip code 300663234.
What is Mary Ann B Florestan's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mary Ann B Florestan is Dietitian, Registered, and the taxonomy code that classifies this field of practice is 133V00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1477610095 to Mary Ann B Florestan?
The Centers for Medicare & Medicaid Services originally issued the 1477610095 to Mary Ann B Florestan on 2007-01-02.
As of what date was the information regarding Mary Ann B Florestan, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mary Ann B Florestan, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.