Doctor Name: | ELAINA HARDEN |
NPI Number: | 1083955447 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LD |
License Number: | LD003116 |
Business Practice Address: | 901 18th St E Tifton, GA - 317943648 |
Business Phone Number: | 2293536124 |
Business Fax Number: | 2293537722 |
Mailing Address: | 901 18th St E, TIFTON |
State: | GA |
Postal Code: | 317943648 |
Phone Number: | 2293536124 |
Fax Number: | 2293537722 |
NPI Enumeration Date: | 03/11/2013 |
NPI Last Update Date: | 03/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | LD003116 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |