Dawn Hedley, RDN | |
3567 Vern Way, Dacula, GA 30019 | |
(678) 457-1138 | |
Not Available |
Full Name | Dawn Hedley |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 3567 Vern Way, Dacula, 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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1043737547 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | LD004931 (Georgia) | Primary |
Provider Name | Nourish, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1558097824 PECOS PAC ID: 1557724937 Enrollment ID: O20230901000471 |
Mailing Address | Practice Location Address |
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Dawn Hedley, RDN 3567 Vern Way, Dacula, GA 30019-5038 Ph: () - | Dawn Hedley, RDN 3567 Vern Way, Dacula, GA 30019 Ph: (678) 457-1138 |
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