Doctor Name: | MS. CYNTHIA SUE WALLERICH |
NPI Number: | 1821184300 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, RD, LD |
License Number: | 001616 |
Business Practice Address: | One Freedom Way Medical Center Routing Symbol 295 Augusta, GA - 30904 |
Business Phone Number: | 7067330188 |
Business Fax Number: | |
Mailing Address: | 621 Carlton Drive, AUGUSTA |
State: | GA |
Postal Code: | 309093505 |
Phone Number: | 7067330188 |
Fax Number: | |
NPI Enumeration Date: | 10/04/2006 |
NPI Last Update Date: | 07/10/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 001616 |
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 |