| Georgia M Banther, RD/LD | |
|
1610 W University Blvd, Durant, OK 74701-3045 | |
| (580) 924-3400 | |
| (580) 924-7732 |
| Full Name | Georgia M Banther |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 1610 W University Blvd, Durant, Oklahoma |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487760633 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 725372 (Oklahoma) | Primary |
| 133V00000X | Dietitian, Registered | 733 (Oklahoma) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Georgia M Banther, RD/LD 1610 University Blvd, Durant, OK 74701 Ph: (580) 924-3400 | Georgia M Banther, RD/LD 1610 W University Blvd, Durant, OK 74701-3045 Ph: (580) 924-3400 |
Kyla Michelle Brown, RD, CNSC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1800 W University Blvd, Durant, OK 74701 Phone: 580-924-3080 | |
Chase Daniel Ward, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1801 Chukkahina, Durant, OK 74701 Phone: 580-920-2100 | |
Ashley Morgan, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1801 Chukka Hina, Durant, OK 74701 Phone: 580-920-2100 | |
Shawn Idell, RD, LD Dietitian Medicare: Medicare Enrolled Practice Location: 1800 W University Blvd, Durant, OK 74701 Phone: 580-924-3080 Fax: 580-931-2048 |