Organization Name: | NORTHEAST GEORGIA WELLNESS ASSOCIATES, LLC |
NPI Number: | 1417374869 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WHITNEY ELAINE BIGNELL (CEO) |
Mailing Address: | 1197 Cedar Shoals Drive #103 Athens |
State: | GA US |
Postal Code: | 30605 |
Phone Number: | 7062961572 |
Fax Number: | 8888849828 |
NPI Enumeration Date: | 03/24/2014 |
NPI Last Update Date: | 03/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | LD003881 |
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 |