Mrs Kathryn Tilley Derrick, RD, LD is a
Dietitian, Registered based in Calhoun, Georgia. Mrs Kathryn Tilley Derrick is licensed to practice in Georgia (license number LD003040) and her current practice location is
127 Wc Bryant Pkwy, Ste A, Calhoun, Georgia. She can be reached at her office (for appointments etc.) via phone at
(706) 629-4999.
NPI number for Mrs Kathryn Tilley Derrick is 1194932624 and her current mailing address is 127 Wc Bryant Pkwy, Ste A, Calhoun, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1194932624.
Healthcare Provider's Profile
Full Name | Mrs Kathryn Tilley Derrick |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 127 Wc Bryant Pkwy, Calhoun, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1194932624
- Provider Enumeration Date: 05/16/2007
- Last Update Date: 04/01/2011
Medical Identifiers
Medical identifiers for Mrs Kathryn Tilley Derrick such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194932624 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | LD003040 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kathryn Tilley Derrick is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Kathryn Tilley Derrick, RD, LD 127 Wc Bryant Pkwy, Ste A, Calhoun, GA 30701-2654 Ph: (706) 629-4999 | Mrs Kathryn Tilley Derrick, RD, LD 127 Wc Bryant Pkwy, Ste A, Calhoun, GA 30701-2654 Ph: (706) 629-4999 |
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