Doctor Name: | MEGAN BRANNEN TYSON |
NPI Number: | 1396128054 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD, LD |
License Number: | LD003631 |
Business Practice Address: | 620 Ridge Ave N Tifton, GA - 317944328 |
Business Phone Number: | 9126871400 |
Business Fax Number: | |
Mailing Address: | 620 Ridge Ave N, TIFTON |
State: | GA |
Postal Code: | 317944328 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/30/2015 |
NPI Last Update Date: | 06/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | LD003631 |
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 |