Nutrition 411 Beverly Ford Rd Ld Llc in Augusta - Nutrition, Renal
Nutrition 411 Beverly Ford Rd Ld Llc - NPI 1225220866
Nutrition 411 Beverly Ford Rd Ld Llc is a Nutrition, Renal in Augusta, Georgia. Nutrition 411 Beverly Ford Rd Ld Llc practices all healthcare services and medical treatments related to Nutrition, Renal. The NPI Number for Nutrition 411 Beverly Ford Rd Ld Llc is 1225220866. The last update date is 2007-08-17.
Nutrition 411 Beverly Ford Rd Ld Llc's current location address is 2425 Williams St, Augusta, Georgia. You can contact this provider via phone number 7065891582. The mailing address for Nutrition 411 Beverly Ford Rd Ld Llc is 2425 Williams St, Augusta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Nutrition 411 Beverly Ford Rd Ld Llc |
|---|---|
| Address | 2425 Williams St, Augusta, Georgia |
| Phone Number | 7065891582 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Ford Beverly |
| Credentials | RD LD |
| Telephone Number | 7065891582 |
NPI Number Detail
| NPI Number | 1225220866 |
|---|---|
| Provider Enumeration Date | 2007-08-17 |
| Last Updated Date | 2007-08-17 |
Provider Mailing Address Detail
| Address | 2425 Williams St |
|---|---|
| City | Augusta |
| State | Georgia (GA) |
| Post Code | 309046127 |
| Phone Number | 7065891582 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nutrition, Renal |
|---|---|
| Taxonomy | 133Vn1005X |
| Licence No | 488 |
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Definition: An individual who is a Board Certified Specialist in Renal Nutrition and works directly with adult and/or pediatric patients with acute kidney injury, chronic kidney disease (CKD) stages 1-5, or receiving renal replacement therapies (dialysis/transpl |
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What is the unique identifier code issued to Nutrition 411 Beverly Ford Rd Ld Llc by the Centers for Medicare & Medicaid Services (CMS)?
The Nutrition 411 Beverly Ford Rd Ld Llc has been assigned the NPI (National Provider Identifier) 1225220866. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Nutrition 411 Beverly Ford Rd Ld Llc is geographically located?
The Nutrition 411 Beverly Ford Rd Ld Llc is physically situated at the following location: 2425 Williams St, Augusta, GA, 309046127.
What is Nutrition 411 Beverly Ford Rd Ld Llc's area of expertise and its corresponding taxonomy classification?
The Nutrition 411 Beverly Ford Rd Ld Llc's field of specialization is Nutrition, Renal, and it falls under the taxonomy code 133Vn1005X, which categorizes healthcare providers based on their areas of practice.
On what date did the Nutrition 411 Beverly Ford Rd Ld Llc receive the assignment of its 1225220866 from the Centers for Medicare & Medicaid Services?
The Nutrition 411 Beverly Ford Rd Ld Llc was issued its 1225220866 by the Centers for Medicare & Medicaid Services on 2007-08-17.
As of what date were the Nutrition 411 Beverly Ford Rd Ld Llc's details last updated?
The information pertaining to the Nutrition 411 Beverly Ford Rd Ld Llc, including its address, specialty, and other details, was most recently updated on 2007-08-17.