Doctor Name: | PRISCILLA C PACKNETT |
NPI Number: | 1134233257 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD, LDN |
License Number: | 2002031039 |
Business Practice Address: | 1061 Harmon Avenue Suite 1d03 Fort Stewart, GA - 313145674 |
Business Phone Number: | 9124356965 |
Business Fax Number: | |
Mailing Address: | 1061 Harmon Ave, Suite 1d03 FORT STEWART |
State: | GA |
Postal Code: | 313145641 |
Phone Number: | 9124356965 |
Fax Number: | |
NPI Enumeration Date: | 08/18/2006 |
NPI Last Update Date: | 06/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 2002031039 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MO |
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 |