Doctor Name: | CLAUDE MASK |
NPI Number: | 1801218912 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RD |
License Number: | LD003990 |
Business Practice Address: | 1514 Vernon Rd Lagrange, GA - 302404131 |
Business Phone Number: | 7068122211 |
Business Fax Number: | |
Mailing Address: | 614 Florence Dr, AUBURN |
State: | AL |
Postal Code: | 368305005 |
Phone Number: | 7066162944 |
Fax Number: | |
NPI Enumeration Date: | 01/08/2014 |
NPI Last Update Date: | 01/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | LD003990 |
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 |