Taylor Burrage, RD | |
901 18th St E, Tifton, GA 31794-3648 | |
(229) 382-7120 | |
Not Available |
Full Name | Taylor Burrage |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 901 18th St E, Tifton, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1629617147 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | 86115738 (Georgia) | Primary |
Provider Name | Nourish, Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1558097824 PECOS PAC ID: 1557724937 Enrollment ID: O20230901000471 |
Mailing Address | Practice Location Address |
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Taylor Burrage, RD 2004 Redbird Trl, Douglas, GA 31533-3262 Ph: (706) 978-2432 | Taylor Burrage, RD 901 18th St E, Tifton, GA 31794-3648 Ph: (229) 382-7120 |
Elaina Harden, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 229-353-6124 Fax: 229-353-7722 | |
Lauren B Saxena, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 39 Kent Rd, Suite 5, Tifton, GA 31794 Phone: 229-353-7337 | |
Lorenzo Gomez, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 229-353-6165 | |
Megan Brannen Tyson, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 620 Ridge Ave N, Tifton, GA 31794 Phone: 912-687-1400 | |
Erin Elizabeth Clemmons, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 229-382-7120 | |
Linda Moore, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 901 18th St E, Tifton, GA 31794 Phone: 229-353-6208 Fax: 229-353-7722 |