Doctor Name: | LINDA R GWALTNEY |
NPI Number: | 1871807776 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS RD LD |
License Number: | LD002453 |
Business Practice Address: | 1514 Vernon Rd Lagrange, GA - 302404131 |
Business Phone Number: | 7068453188 |
Business Fax Number: | 7068452401 |
Mailing Address: | 1514 Vernon Rd, LAGRANGE |
State: | GA |
Postal Code: | 302404131 |
Phone Number: | 7068453188 |
Fax Number: | 7068452401 |
NPI Enumeration Date: | 08/03/2010 |
NPI Last Update Date: | 10/12/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | LD002453 |
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 |