| |
504 Beachview Dr, Suite 2a, Saint Simons Island, GA 31522-4740 | |
(912) 222-7755 | |
(912) 434-7018 |
Full Name | |
---|---|
Type | Facility |
Speciality | Dietitian, Registered |
Location | 504 Beachview Dr, Saint Simons Island, Georgia |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932486966 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | LD002579 (Georgia) | Primary |
Mailing Address | Practice Location Address |
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620 Sea Island Rd, Pmb 273, Saint Simons Island, GA 31522-1767 Ph: (912) 222-7755 | 504 Beachview Dr, Suite 2a, Saint Simons Island, GA 31522-4740 Ph: (912) 222-7755 |
Mrs. Lauren Giczewski Bailey, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 504 Beachview Dr, Suite 2a, Saint Simons Island, GA 31522 Phone: 912-222-7755 |