Moderation Is The Key | |
1412 Milstead Ave Ne Conyers GA 30012-3877 | |
(404) 274-4414 | |
Not Available |
Full Name | Moderation Is The Key |
---|---|
Speciality | Clinic/Center |
Location | 1412 Milstead Ave Ne, Conyers, Georgia |
Authorized Official Name and Position | Nikki S Halipilias (REGISTERED DIETITIAN) |
Authorized Official Contact | 4042744414 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Moderation Is The Key 801 Woodcliff Dr Atlanta GA 30350-3163 Ph: (404) 274-4414 | Moderation Is The Key 1412 Milstead Ave Ne Conyers GA 30012-3877 Ph: (404) 274-4414 |
NPI Number | 1871357459 |
---|---|
Provider Enumeration Date | 02/13/2024 |
Last Update Date | 02/20/2024 |
Medicare PECOS PAC ID | 4486094620 |
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Medicare Enrollment ID | O20240503003356 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871357459 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Nikki S Halipilias |
---|---|
Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
Provider Identifiers | NPI Number: 1578151247 PECOS PAC ID: 6709835440 Enrollment ID: I20240506000267 |
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