Doctor Name: | MARCY MCELVEEN PUGLIESE |
NPI Number: | 1467525097 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | LD002762 |
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: | 11/15/2006 |
NPI Last Update Date: | 05/20/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | LD002762 |
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 |