Naomi Bianca Mitchell, MS, RD, LD | |
125 Eagles Walk Ste 100, Stockbridge, GA 30281-7239 | |
(678) 994-2700 | |
(678) 737-1492 |
Full Name | Naomi Bianca Mitchell |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 125 Eagles Walk Ste 100, Stockbridge, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376107342 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | LD005275 (Georgia) | Primary |
Provider Name | Hyped 4 Health Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1174127039 PECOS PAC ID: 6709295017 Enrollment ID: O20210517000960 |
Mailing Address | Practice Location Address |
---|---|
Naomi Bianca Mitchell, MS, RD, LD 110 Walter Way Unit 1888, Stockbridge, GA 30281-9520 Ph: (678) 994-2700 | Naomi Bianca Mitchell, MS, RD, LD 125 Eagles Walk Ste 100, Stockbridge, GA 30281-7239 Ph: (678) 994-2700 |
Vincent Edward Pair, DNP, FNP-BC, RD Dietitian Medicare: Medicare Enrolled Practice Location: 1133 Eagles Landing Pkwy, Stockbridge, GA 30281 Phone: 478-464-8134 | |
Delaney Coman, Dietitian Medicare: Accepting Medicare Assignments Practice Location: 145 Eagles Walk Ste A, Stockbridge, GA 30281 Phone: 770-914-1808 Fax: 770-914-6828 | |
Hyped 4 Health Dietitian Medicare: Medicare Enrolled Practice Location: 135 Eagles Walk Ste 150, Stockbridge, GA 30281 Phone: 678-994-2700 Fax: 678-737-1492 | |
Ms. Torrie Shapale Skipper-harrilson, MA, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 916 Moonlit Cres, Stockbridge, GA 30281 Phone: 678-641-5887 | |
Kiki Smalley Frazier, MS,RD,LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 309 Borgette Ct, Stockbridge, GA 30281 Phone: 770-307-6690 | |
Chandra Bivens Carty, R.D.,L.D. Dietitian Medicare: Medicare Enrolled Practice Location: 1516 Rock Quarry Rd, Stockbridge, GA 30281 Phone: 770-389-0836 Fax: 770-389-0886 |