Chandra Bivens Carty in Stockbridge - Dietitian, Registered

Chandra Bivens Carty - NPI 1841395068

Chandra Bivens Carty is a Dietitian, Registered in Stockbridge, Georgia. Chandra Bivens Carty practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Chandra Bivens Carty is 1841395068. The last update date is 2011-11-04.

Chandra Bivens Carty's current location address is 2605 Brushy Nob Ln, Stockbridge, Georgia. You can contact this provider via phone number 7703890836 and fax number 7703890886. The mailing address for Chandra Bivens Carty is 2605 Brushy Nob Ln, Stockbridge, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Chandra Bivens Carty
Address 2605 Brushy Nob Ln, Stockbridge, Georgia
Phone Number 7703890836
Fax Number 7703890886
Sole Proprietor Y
Credentials R.D.,L.D.

NPI Number Detail

NPI Number 1841395068
Provider Enumeration Date 2006-09-13
Last Updated Date 2011-11-04

Provider Mailing Address Detail

Address 2605 Brushy Nob Ln
City Stockbridge
State Georgia (GA)
Post Code 302815243
Phone Number 7703890836
Fax Number 7703890886

Provider's Primary Taxonomy Detail

Speciality Dietitian, Registered
Taxonomy 133V00000X
Licence No LD000618
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
691002664A GA --

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FAQs about Chandra Bivens Carty

What is the Chandra Bivens Carty's 1841395068?

The Chandra Bivens Carty's NPI (National Provider Identifier) Number is 1841395068. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Chandra Bivens Carty's facilities are geographically located?

The facilities of Chandra Bivens Carty are physically situated at the following location: 2605 Brushy Nob Ln, Stockbridge, GA, 302815243.

What is Chandra Bivens Carty's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Chandra Bivens Carty is Dietitian, Registered, and the taxonomy classification code that categorizes this area of expertise is 133V00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1841395068 to Chandra Bivens Carty?

The Centers for Medicare & Medicaid Services assigned the 1841395068 to Chandra Bivens Carty on 2006-09-13.

As of what date were the Chandra Bivens Carty's details last updated?

The information pertaining to the Chandra Bivens Carty, including its address, specialty, and other details, was most recently updated on 2011-11-04.

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