Lucy O Jackson in Atlanta - Dietitian, Registered
Lucy O Jackson - NPI 1538282603
Lucy O Jackson is a Dietitian, Registered in Atlanta, Georgia. Lucy O Jackson practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Lucy O Jackson is 1538282603. The last update date is 2007-07-08.
Lucy O Jackson's current location address is 515 Fairburn Rd Sw Ste 350, Atlanta, Georgia. You can contact this provider via phone number 4045056754 and fax number 4045056758. The mailing address for Lucy O Jackson is 515 Fairburn Rd Sw Ste 350, Atlanta, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lucy O Jackson |
|---|---|
| Address | 515 Fairburn Rd Sw Ste 350, Atlanta, Georgia |
| Phone Number | 4045056754 |
| Fax Number | 4045056758 |
| Sole Proprietor | N |
| Credentials | MSC, RD,CN |
NPI Number Detail
| NPI Number | 1538282603 |
|---|---|
| Provider Enumeration Date | 2007-04-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 515 Fairburn Rd Sw Ste 350 |
|---|---|
| City | Atlanta |
| State | Georgia (GA) |
| Post Code | 303312012 |
| Phone Number | 4045056754 |
| Fax Number | 4045056758 |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
| Licence No | LD001368 |
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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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What is the unique identifier code issued to Lucy O Jackson by the Centers for Medicare & Medicaid Services?
The Lucy O Jackson has been assigned the NPI (National Provider Identifier) 1538282603. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Lucy O Jackson located?
The Lucy O Jackson is located at 515 Fairburn Rd Sw Ste 350, Atlanta, GA 303312012.
What is Lucy O Jackson'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 Lucy O Jackson 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 issue the 1538282603 to Lucy O Jackson?
The Lucy O Jackson received its 1538282603 assignment from the Centers for Medicare & Medicaid Services on 2007-04-06.
As of what date were the details pertaining to Lucy O Jackson last refreshed?
The information related to the Lucy O Jackson, including its address, specialty, and other relevant details, was last updated on 2007-07-08.