Lianni Maldonado, RD | |
1120 15th St # Ad2254, Augusta, GA 30912-0004 | |
(706) 446-1251 | |
Not Available |
Full Name | Lianni Maldonado |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 1120 15th St # Ad2254, Augusta, 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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1811632474 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | LD005424 (Georgia) | Primary |
Provider Name | Au Medical Center, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1437135902 PECOS PAC ID: 7618866229 Enrollment ID: O20040312000081 |
Mailing Address | Practice Location Address |
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Lianni Maldonado, RD 4424 Roxbury Dr, Evans, GA 30809-3252 Ph: (770) 656-6367 | Lianni Maldonado, RD 1120 15th St # Ad2254, Augusta, GA 30912-0004 Ph: (706) 446-1251 |
Ms. Courtney Tayler Crumpton, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1465 Laney Walker Blvd # 1040, Augusta, GA 30912 Phone: 706-721-3448 | |
Mrs. Lauren Denae Belcher, R,D, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1 Freedom Way, Charlie Norwood Vamc Nutrition And Food Services Dept, Augusta, GA 30904 Phone: 706-733-0188 | |
Mrs. Sarah Deen, Dietitian Medicare: Medicare Enrolled Practice Location: 1411 Laney Walker Blvd, An1301, Augusta, GA 30912 Phone: 706-721-0507 | |
Amanda Reiter, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1120 15th St # An1304, Augusta, GA 30912 Phone: 706-721-0507 | |
Sarah G Schmidt, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-7994 Fax: 706-721-0313 | |
Emily Kathryn Tyus, NP Dietitian Medicare: Not Enrolled in Medicare Practice Location: 818 Saint Sebastian Way Ste 200, Augusta, GA 30901 Phone: 706-774-8940 | |
Tara Morgan Smith, RD, MS Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1 Freedom Way, Augusta, GA 30904 Phone: 706-733-0188 |