Mary Lauren Whiteside in Savannah - Nutrition, Pediatric
Mary Lauren Whiteside - NPI 1538332663
Mary Lauren Whiteside is a Nutrition, Pediatric in Savannah, Georgia. Mary Lauren Whiteside practices all healthcare services and medical treatments related to Nutrition, Pediatric. The NPI Number for Mary Lauren Whiteside is 1538332663. The last update date is 2012-09-27.
Mary Lauren Whiteside's current location address is 4700 Waters Ave, Savannah, Georgia. You can contact this provider via phone number 9123509473 and fax number 8433509557. The mailing address for Mary Lauren Whiteside is 4700 Waters Ave, Savannah, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Lauren Whiteside |
|---|---|
| Address | 4700 Waters Ave, Savannah, Georgia |
| Phone Number | 9123509473 |
| Fax Number | 8433509557 |
| Sole Proprietor | N |
| Credentials | R.D, C.S.P |
NPI Number Detail
| NPI Number | 1538332663 |
|---|---|
| Provider Enumeration Date | 2008-04-09 |
| Last Updated Date | 2012-09-27 |
Provider Mailing Address Detail
| Address | 4700 Waters Ave |
|---|---|
| City | Savannah |
| State | Georgia (GA) |
| Post Code | 314046220 |
| Phone Number | 9123509473 |
| Fax Number | 8433509557 |
Provider's Primary Taxonomy Detail
| Speciality | Nutrition, Pediatric |
|---|---|
| Taxonomy | 133Vn1004X |
| Licence No | 160 |
|
Definition: An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 003124845A | GA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Mary Lauren Whiteside by the Centers for Medicare & Medicaid Services?
The Mary Lauren Whiteside has been issued the NPI (National Provider Identifier) 1538332663 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Mary Lauren Whiteside is physically located?
The Mary Lauren Whiteside is physically situated at the following address: 4700 Waters Ave, Savannah, GA, 314046220.
What is Mary Lauren Whiteside's area of expertise and its corresponding taxonomy classification?
The Mary Lauren Whiteside's field of specialization is Nutrition, Pediatric, and it falls under the taxonomy code 133Vn1004X, which categorizes healthcare providers based on their areas of practice.
On what date did the Mary Lauren Whiteside receive the assignment of its 1538332663 from the Centers for Medicare & Medicaid Services?
The Mary Lauren Whiteside was issued its 1538332663 by the Centers for Medicare & Medicaid Services on 2008-04-09.
When was the information pertaining to Mary Lauren Whiteside most recently updated or revised?
The details related to Mary Lauren Whiteside, including its address, specialty, and other relevant information, were last updated or revised on 2012-09-27.
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