Doctor Name: | MARY ANN CLEVER |
NPI Number: | 1720226343 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD, LD |
License Number: | LD003172 |
Business Practice Address: | 725 Jesse Jewell Pkwy Se Suite 300 Gainesville, GA - 305013834 |
Business Phone Number: | 7702975705 |
Business Fax Number: | 7702975644 |
Mailing Address: | Po Box 658, GAINESVILLE |
State: | GA |
Postal Code: | 305030658 |
Phone Number: | 7707181122 |
Fax Number: | 7705357445 |
NPI Enumeration Date: | 02/04/2009 |
NPI Last Update Date: | 02/04/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | LD003172 |
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 |