Doctor Name: | KELLI ALFORD |
NPI Number: | 1700278868 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, RDN, LDN |
License Number: | LD004346 |
Business Practice Address: | 1900 Tebeau Street Waycross, GA - 31501 |
Business Phone Number: | 9122874271 |
Business Fax Number: | 9123386400 |
Mailing Address: | Po Box 173, WAYCROSS |
State: | GA |
Postal Code: | 31502 |
Phone Number: | 9123386559 |
Fax Number: | |
NPI Enumeration Date: | 02/26/2015 |
NPI Last Update Date: | 10/27/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | LD004346 |
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 |