| Kidney Nutrition Specialist Llc | |
|
213 Highland Hills Rd, Fayetteville, GA 30214-5429 | |
| (770) 568-0162 | |
| (770) 580-1880 |
| Full Name | Kidney Nutrition Specialist Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 213 Highland Hills Rd, Fayetteville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316564909 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Provider Name | Jadeda Darwashia Hooks |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1174834493 PECOS PAC ID: 2365867678 Enrollment ID: I20200804001709 |
| Mailing Address | Practice Location Address |
|---|---|
| Kidney Nutrition Specialist Llc 213 Highland Hills Rd, Fayetteville, GA 30214-5429 Ph: (770) 568-0162 | Kidney Nutrition Specialist Llc 213 Highland Hills Rd, Fayetteville, GA 30214-5429 Ph: (770) 568-0162 |
Ariel Briana Robinson, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 170 Lakepoint Ln, Fayetteville, GA 30215 Phone: 404-702-6670 | |
Mrs. Diane Blair Morris, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 160 Susan Ln, Fayetteville, GA 30215 Phone: 678-389-1016 | |
Alpha Internal Medicine Dietitian Medicare: Medicare Enrolled Practice Location: 745 Glynn St S, Fayetteville, GA 30214 Phone: 770-719-5490 | |
Mrs. Sharon Joy Mascoe-maxwell, RD., LD. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1255 Highway 54 W, Fayetteville, GA 30214 Phone: 770-719-6728 | |
Jadeda Darwashia Hooks, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 213 Highland Hills Rd, Fayetteville, GA 30214 Phone: 770-568-0162 | |
Joanne Talley, RD, LD, CDE Dietitian Medicare: Medicare Enrolled Practice Location: 105 Carnegie Pl, Ste 103, Fayetteville, GA 30214 Phone: 770-716-7999 | |
Lisa M Stillman, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 745 South Glynn Street, Fayetteville, GA 30214 Phone: 770-719-5490 Fax: 770-719-3113 |