Doctor Name: | ROBERTA LEE DAVIS |
NPI Number: | 1083959407 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | 6923 |
Business Practice Address: | 4041 N High St Columbus, OH - 432143247 |
Business Phone Number: | 6144479495 |
Business Fax Number: | 6144479163 |
Mailing Address: | 4041 N High St, COLUMBUS |
State: | OH |
Postal Code: | 432143247 |
Phone Number: | 6144479495 |
Fax Number: | 6144479163 |
NPI Enumeration Date: | 12/11/2012 |
NPI Last Update Date: | 04/14/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 6923 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
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 |