Courtney Johnson, MS, RD, LDN | |
3684 Halcyon Trce, Trussville, AL 35173-6355 | |
(205) 266-3378 | |
Not Available |
Full Name | Courtney Johnson |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 3684 Halcyon Trce, Trussville, Alabama |
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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1306568845 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Provider Name | Ilivewell Nutrition Therapy, Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1093150070 PECOS PAC ID: 5496186009 Enrollment ID: O20200515000498 |
Mailing Address | Practice Location Address |
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Courtney Johnson, MS, RD, LDN 3684 Halcyon Trce, Trussville, AL 35173-6355 Ph: () - | Courtney Johnson, MS, RD, LDN 3684 Halcyon Trce, Trussville, AL 35173-6355 Ph: (205) 266-3378 |
Mrs. Ciara Maria Mitchell, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3276 Cahaba Manor Dr, Trussville, AL 35173 Phone: 404-788-2266 | |
Maria Evita Isip Allen, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 317 Woodward Rd, Trussville, AL 35173 Phone: 205-999-8809 | |
Tiffany Ashworth, RD Dietitian Medicare: Medicare Enrolled Practice Location: 5262 Drew Run, Trussville, AL 35173 Phone: 205-612-8455 |