| Doctor Name: | JAVIER EDUARDO AZCARATE |
| NPI Number: | 1336412402 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RD |
| License Number: | LD003853 |
| Business Practice Address: | 172 Three Rivers Dr Ne Rome, GA - 301614999 |
| Business Phone Number: | 7062346905 |
| Business Fax Number: | 7062917792 |
| Mailing Address: | 1825 Martha Berry Blvd Nw, ROME |
| State: | GA |
| Postal Code: | 301651625 |
| Phone Number: | 7062955331 |
| Fax Number: | |
| NPI Enumeration Date: | 02/20/2012 |
| NPI Last Update Date: | 05/07/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | LD003853 |
| 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 |