| U.s. Army | |
|
1061 Harmon Ave, Fort Stewart, GA 31314-5641 | |
| (912) 435-5801 | |
| Not Available |
| Full Name | U.s. Army |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 1061 Harmon Ave, Fort Stewart, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669911939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | 10173220-4901 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| U.s. Army 1061 Harmon Ave, Fort Stewart, GA 31314-5641 Ph: () - | U.s. Army 1061 Harmon Ave, Fort Stewart, GA 31314-5641 Ph: (912) 435-5801 |
Jordan Domenick, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1061 Harmon Ave, Fort Stewart, GA 31314 Phone: 912-435-6633 | |
Priscilla C Packnett, RD, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1061 Harmon Avenue, Suite 1d03, Fort Stewart, GA 31314 Phone: 912-435-6965 | |
Bridget A Couchon, DIETITIAN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1061 Harmon Ave, Suite 1d03, Fort Stewart, GA 31314 Phone: 912-435-6707 | |
Mrs. Kristina Yavorski, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1061 Harmon Ave, Suite 1d03, Fort Stewart, GA 31314 Phone: 912-435-6633 | |
Christina Griffin, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1061 Harmon Ave, Fort Stewart, GA 31314 Phone: 912-435-6965 | |
Yi-ling Lee, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1061 Harmon Ave Ste 1d03, Fort Stewart, GA 31314 Phone: 912-435-5965 | |
Ms. Raleighetta Vonzell Varnedoe, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1061 Harmon Ave, Winn Army Community Hospital - Nutrition Care Division, Fort Stewart, GA 31314 Phone: 912-435-6707 Fax: 912-435-6791 |