Doctor Name: | MRS. SUSAN H HAGOOD |
NPI Number: | 1568476778 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD,LD,CDE |
License Number: | LD000378 |
Business Practice Address: | 1670 Clairmont Rd #120 Decatur, GA - 300334004 |
Business Phone Number: | 4043216111 |
Business Fax Number: | 4042869727 |
Mailing Address: | 1178 Forrest Blvd, DECATUR |
State: | GA |
Postal Code: | 300304736 |
Phone Number: | 4042890054 |
Fax Number: | 4042862797 |
NPI Enumeration Date: | 07/27/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | LD000378 |
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 |