| Kidney Nutrition Specialist Llc | |
|
1425 Highway 34 E, Newnan, GA 30265-1323 | |
| (470) 205-0119 | |
| (770) 580-1880 |
| Full Name | Kidney Nutrition Specialist Llc |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 1425 Highway 34 E, Newnan, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316564909 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| 133VN1005X | Dietitian, Registered - Nutrition, Renal | (* (Not Available)) | Secondary |
| Provider Name | Jadeda Darwashia Hooks |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1174834493 PECOS PAC ID: 2365867678 Enrollment ID: I20200804001709 |
| Mailing Address | Practice Location Address |
|---|---|
| Kidney Nutrition Specialist Llc 213 Highland Hills Rd, Fayetteville, GA 30214-5429 Ph: (770) 568-0162 | Kidney Nutrition Specialist Llc 1425 Highway 34 E, Newnan, GA 30265-1323 Ph: (470) 205-0119 |
Andrea Marie Swartz, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 600 Celebrate Life Pkwy, Newnan, GA 30265 Phone: 770-400-6151 Fax: 700-400-6939 | |
Ora Charita Lewis Griskell, MS, RDN, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 600 Celebrate Life Pkwy, Newnan, GA 30265 Phone: 470-241-7410 | |
Christine E Issa, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 220 Peninsula Cir, Nutrition Counseling Services, Newnan, GA 30263 Phone: 770-856-3982 | |
Jeanette Shelley, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 300 Bullsboro Dr Ste B-c, Newnan, GA 30263 Phone: 470-419-4380 | |
Erin Elizabeth Jerger, RD, CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 105 Lake Cove Approach, Newnan, GA 30265 Phone: 770-683-8892 | |
Andrea Laney, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 600 Celebrate Life Pkwy, Newnan, GA 30265 Phone: 770-400-6546 Fax: 770-400-6939 | |
Jadeda Hooks, RDN, CSR Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1425 Highway 34 E, Newnan, GA 30265 Phone: 470-202-0119 Fax: 770-580-1880 |