| Bethany Lynn Keith, MS, RDN, LD, CNSC | |
|
850 Dogwood Rd Ste B2002319, Lawrenceville, GA 30044-7218 | |
| (770) 284-0518 | |
| Not Available |
| Full Name | Bethany Lynn Keith |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered - Nutrition, Renal |
| Location | 850 Dogwood Rd Ste B2002319, Lawrenceville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972105070 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133VN1005X | Dietitian, Registered - Nutrition, Renal | (* (Not Available)) | Primary |
| 133V00000X | Dietitian, Registered | LD005127 (Georgia) | Secondary |
| Provider Name | Valdosta Kidney Clinic, LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1215109087 PECOS PAC ID: 1052370640 Enrollment ID: O20041008000394 |
| Provider Name | Andre D Feria MD PC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1386780104 PECOS PAC ID: 3577513977 Enrollment ID: O20070323000055 |
| Provider Name | Kidney Clinic Cordele LLC |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1336726215 PECOS PAC ID: 9537568738 Enrollment ID: O20210520000155 |
| Mailing Address | Practice Location Address |
|---|---|
| Bethany Lynn Keith, MS, RDN, LD, CNSC 850 Dogwood Rd Ste B2002319, Lawrenceville, GA 30044-7218 Ph: Not Available | Bethany Lynn Keith, MS, RDN, LD, CNSC 850 Dogwood Rd Ste B2002319, Lawrenceville, GA 30044-7218 Ph: (770) 284-0518 |
Lauren Pohl, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 470-325-1603 |
Mrs. Zeithun A Abas, MS, RD, LD, CDCES Dietitian Medicare: Not Enrolled in Medicare Practice Location: 100 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 678-312-4158 |
Anshena Marie Latimore, RDN, LD, CNSC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 678-312-4214 |
Lois Vergis, MS, RD,LD, CDE Dietitian Medicare: Medicare Enrolled Practice Location: 100 Medical Center Blvd, Lawrenceville, GA 30045 Phone: 678-442-4117 |
Mrs. Johane M Filemon, MS, RDN, LD, CLT Dietitian Medicare: Accepting Medicare Assignments Practice Location: 35 Patterson Rd # 465942, Lawrenceville, GA 30044 Phone: 770-904-9154 |
Abigail Korsunskaya, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 678-312-1000 |
Simple Faith Wellness Llc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1711 Watford Gln, Lawrenceville, GA 30043 Phone: 757-652-6488 |