Doctor Name: | HANNAH LEE GEORGIAN |
NPI Number: | 1588061121 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R. D., L. D. |
License Number: | D1665 |
Business Practice Address: | 62 Old Airport Rd Hattiesburg, MS - 394018382 |
Business Phone Number: | 6015444550 |
Business Fax Number: | 6015823373 |
Mailing Address: | Po Box 1729, HATTIESBURG |
State: | MS |
Postal Code: | 394031729 |
Phone Number: | 6015458700 |
Fax Number: | 6014502493 |
NPI Enumeration Date: | 11/25/2014 |
NPI Last Update Date: | 11/25/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | D1665 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
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 |