Christine M Hansen, MS, RDN, LD | |
253 Forkner Dr, Decatur, GA 30030-1612 | |
(404) 661-6481 | |
Not Available |
Full Name | Christine M Hansen |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 253 Forkner Dr, Decatur, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1235584111 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | LD004622 (Georgia) | Primary |
Provider Name | Grady Memorial Hospital Corporation |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1114243813 PECOS PAC ID: 7517032998 Enrollment ID: O20100723000311 |
Mailing Address | Practice Location Address |
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Christine M Hansen, MS, RDN, LD 253 Forkner Dr, Decatur, GA 30030-1612 Ph: (404) 661-6481 | Christine M Hansen, MS, RDN, LD 253 Forkner Dr, Decatur, GA 30030-1612 Ph: (404) 661-6481 |
Cheryl Steep, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2165 N Decatur Rd, Decatur, GA 30033 Phone: 678-908-0688 | |
Phyllis Ann Gatewood, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1670 Clairmont Rd, Decatur, GA 30033 Phone: 404-321-6111 | |
Kristen Narlow, RD, LD, CC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2165 N Decatur Rd, Decatur, GA 30033 Phone: 404-778-8561 Fax: 404-778-8562 | |
Valorie Lynnette Sherrill, RD,LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1670 Clairmont Rd, Decatur, GA 30033 Phone: 404-321-6111 | |
Laurel Channell Gunnells, RD,LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 445 Winn Way, Decatur, GA 30030 Phone: 404-508-7957 Fax: 404-508-7752 | |
Ms. Betty Joyce Sellers, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1670 Clairmont Rd, Decatur, GA 30033 Phone: 404-321-6111 | |
Ms. Marisa Isabel Mendes, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1670 Clairmont Rd, Decatur, GA 30033 Phone: 404-321-6111 |