Chandra Bivens Carty in Stockbridge - Nutrition, Renal
Chandra Bivens Carty - NPI 1841395068
Chandra Bivens Carty is a Nutrition, Renal in Stockbridge, Georgia. Chandra Bivens Carty practices all healthcare services and medical treatments related to Nutrition, Renal. 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 |
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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 |
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Provider Enumeration Date | 2006-09-13 |
Last Updated Date | 2011-11-04 |
Provider Mailing Address Detail
Address | 2605 Brushy Nob Ln |
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City | Stockbridge |
State | Georgia (GA) |
Post Code | 302815243 |
Phone Number | 7703890836 |
Fax Number | 7703890886 |
Provider's Primary Taxonomy Detail
Speciality | Nutrition, Renal |
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Taxonomy | 133Vn1005X |
Licence No | LD000618 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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691002664A | GA | -- |
Post Comment/ Review Below
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 Nutrition, Renal, and the taxonomy classification code that categorizes this area of expertise is 133Vn1005X.
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.