Ms Chanda Tracy, RD | |
2400 Lee Hwy N, Pulaski, VA 24301-2326 | |
(540) 994-8593 | |
Not Available |
Full Name | Ms Chanda Tracy |
---|---|
Gender | Female |
Speciality | Dietitian, Registered |
Location | 2400 Lee Hwy N, Pulaski, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386851293 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Provider Name | Nutrition In The Know Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1699452227 PECOS PAC ID: 2365894680 Enrollment ID: O20240122004101 |
Mailing Address | Practice Location Address |
---|---|
Ms Chanda Tracy, RD 5285 Buena Vista Rd, Pulaski, VA 24301-7149 Ph: (540) 980-8204 | Ms Chanda Tracy, RD 2400 Lee Hwy N, Pulaski, VA 24301-2326 Ph: (540) 994-8593 |
Anita Marie Osburn, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2400 Lee Hwy N, Pulaski, VA 24301 Phone: 540-994-8561 Fax: 540-994-8243 | |
Mrs. Loree D Clauss, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2400 Lee Highway, Pulaski, VA 24301 Phone: 540-994-8593 Fax: 540-994-8243 | |
Mrs. Virginia Marie Fox, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2400 Lee Hwy N, Pulaski, VA 24301 Phone: 540-994-8593 Fax: 540-994-8243 |