Nina's Nutritional Values, Llc | |
369 Interlake Pass, Mcdonough, GA 30252-8056 | |
(678) 763-5769 | |
Not Available |
Full Name | Nina's Nutritional Values, Llc |
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Type | Facility |
Speciality | Dietitian, Registered |
Location | 369 Interlake Pass, Mcdonough, Georgia |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1376051268 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Provider Name | Nina German Hall |
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Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1902212467 PECOS PAC ID: 0648698860 Enrollment ID: I20200918002523 |
Mailing Address | Practice Location Address |
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Nina's Nutritional Values, Llc 369 Interlake Pass, Mcdonough, GA 30252-8056 Ph: () - | Nina's Nutritional Values, Llc 369 Interlake Pass, Mcdonough, GA 30252-8056 Ph: (678) 763-5769 |
Mrs. Diana Scott Thornton, RD CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 80 Vinings Dr, Mcdonough, GA 30253 Phone: 770-302-6780 Fax: 678-782-3776 | |
Cherita Wright, MPH, RDN, LDN, CLC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1542 E Lake Rd, Mcdonough, GA 30252 Phone: 276-708-5557 | |
Mrs. Nina German Hall, PHD, RD, LD/N Dietitian Medicare: Medicare Enrolled Practice Location: 369 Interlake Pass, Mcdonough, GA 30252 Phone: 678-763-5769 |