Pamela Michelle Harris, RD | |
3 Steiner Blvd, Barboursville, WV 25504-1009 | |
(304) 617-1769 | |
Not Available |
Full Name | Pamela Michelle Harris |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 3 Steiner Blvd, Barboursville, West Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437728789 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 718 (West Virginia) | Primary |
Provider Name | Dietitian In Your Kitchen |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1679002547 PECOS PAC ID: 5597023697 Enrollment ID: O20171219001931 |
Mailing Address | Practice Location Address |
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Pamela Michelle Harris, RD 3 Steiner Blvd, Barboursville, WV 25504-1009 Ph: (304) 617-1769 | Pamela Michelle Harris, RD 3 Steiner Blvd, Barboursville, WV 25504-1009 Ph: (304) 617-1769 |
Jillian Pate, MS, RD, CSR, LD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1811 Coffman St, Barboursville, WV 25504 Phone: 304-617-4067 | |
Renal Rd Wv Llc Dietitian Medicare: Medicare Enrolled Practice Location: 1811 Coffman St, Barboursville, WV 25504 Phone: 304-617-4067 | |
Brittany Paitsel, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1811 Coffman St, Barboursville, WV 25504 Phone: 228-276-8170 |