Destiny Nolan, RD | |
1326 Wood Park Dr Nw, Kennesaw, GA 30152-4641 | |
(678) 722-1924 | |
Not Available |
Full Name | Destiny Nolan |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 1326 Wood Park Dr Nw, Kennesaw, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881344497 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | LD006088 (Georgia) | Primary |
Provider Name | Eastern Maine Medical Center |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1790789147 PECOS PAC ID: 2062315161 Enrollment ID: O20040128000088 |
Mailing Address | Practice Location Address |
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Destiny Nolan, RD 1326 Wood Park Dr Nw, Kennesaw, GA 30152-4641 Ph: () - | Destiny Nolan, RD 1326 Wood Park Dr Nw, Kennesaw, GA 30152-4641 Ph: (678) 722-1924 |
Barbara Marie Leydecker, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 290 Kennesaw State University Rd Nw, Kennesaw, GA 30144 Phone: 470-578-4364 | |
Chelsea Hrovat, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1690 Stone Village Ln Nw Ste 322, Kennesaw, GA 30152 Phone: 678-829-6030 | |
Mrs. Laura Farmer, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3805 Cherokee St Nw, Kennesaw, GA 30144 Phone: 678-469-8950 | |
Ms. Martha D. Grimsley, RD,LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 3191 Crestmont Way Nw, Kennesaw, GA 30152 Phone: 770-499-9319 | |
Katherine Dart, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2422 Burnham Cv Nw, Kennesaw, GA 30152 Phone: 513-237-4355 | |
Mrs. Nina Joyce Levasseur, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 125 Townpark Dr Nw Ste 300, Kennesaw, GA 30144 Phone: 770-624-7277 | |
Mrs. Christen Simone Miller, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1395 Raven Rock Trl Nw, Kennesaw, GA 30152 Phone: 770-714-5155 |