| M Eugenia Couchoud-wilkinson, MS, RDN, LD | |
|
11340 Lakefield Dr, Suite 200, Johns Creek, GA 30097-1714 | |
| (678) 407-2159 | |
| (678) 288-8234 |
| Full Name | M Eugenia Couchoud-wilkinson |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 11340 Lakefield Dr, Johns Creek, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316201015 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | LD003876 (Georgia) | Primary |
| Provider Name | Nutritionecw Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1649766874 PECOS PAC ID: 8527472596 Enrollment ID: O20210203000164 |
| Mailing Address | Practice Location Address |
|---|---|
| M Eugenia Couchoud-wilkinson, MS, RDN, LD 263 Heron Lake Ct, Lawrenceville, GA 30043-6850 Ph: (678) 575-1966 | M Eugenia Couchoud-wilkinson, MS, RDN, LD 11340 Lakefield Dr, Suite 200, Johns Creek, GA 30097-1714 Ph: (678) 407-2159 |
Megan Kober, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 219 Hobson Ln, Johns Creek, GA 30097 Phone: 678-495-7398 | |
Saerom Physical Therapy Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6955 Mcginnis Ferry Rd Ste 112, Johns Creek, GA 30097 Phone: 678-335-5566 Fax: 678-335-5567 | |
Claudia Ines Winter, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 6300 Hospital Pkwy Ste 225, Johns Creek, GA 30097 Phone: 678-407-2159 | |
Sara Sawicki, MS, RDN, LD, RYT Dietitian Medicare: Medicare Enrolled Practice Location: 6300 Hospital Pkwy Ste 225, Johns Creek, GA 30097 Phone: 678-407-2159 Fax: 678-780-4313 |