Garrett Davidson, | |
210 N Main St, London, OH 43140-1115 | |
(740) 845-7094 | |
Not Available |
Full Name | Garrett Davidson |
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Gender | Male |
Speciality | Dietitian, Registered |
Location | 210 N Main St, London, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558834861 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Provider Name | Columbus Neighborhood Health Center Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1578985453 PECOS PAC ID: 3678469129 Enrollment ID: O20140721000618 |
Mailing Address | Practice Location Address |
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Garrett Davidson, 515 Executive Campus Dr Ste 120, Westerville, OH 43082-7170 Ph: () - | Garrett Davidson, 210 N Main St, London, OH 43140-1115 Ph: (740) 845-7094 |
Darren W Renz, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 210 N Main St, London, OH 43140 Phone: 740-845-7000 | |
Kelly Katharina Lane, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 210 N Main St, London, OH 43140 Phone: 740-845-7327 | |
Mr. Jeffrey Thomas Gilis, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 210 N Main St, London, OH 43140 Phone: 740-845-7000 | |
Elizabeth Douglass, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 210 N Main St, London, OH 43140 Phone: 740-845-7094 |