| Mrs Nina German Hall, PHD, RD, LD/N | |
|
369 Interlake Pass, Mcdonough, GA 30252-8056 | |
| (678) 763-5769 | |
| Not Available |
| Full Name | Mrs Nina German Hall |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 369 Interlake Pass, Mcdonough, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902212467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | LD003454 (Georgia) | Primary |
| Provider Name | Nina's Nutritional Values, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1376051268 PECOS PAC ID: 7911325139 Enrollment ID: O20200918002464 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Nina German Hall, PHD, RD, LD/N 369 Interlake Pass, Mcdonough, GA 30252-8056 Ph: (770) 914-7056 | Mrs Nina German Hall, PHD, RD, LD/N 369 Interlake Pass, Mcdonough, GA 30252-8056 Ph: (678) 763-5769 |
Nina's Nutritional Values, Llc Dietitian Medicare: Medicare Enrolled Practice Location: 369 Interlake Pass, Mcdonough, GA 30252 Phone: 678-763-5769 | |
Mrs. Diana Scott Thornton, RD CDE Dietitian Medicare: Not Enrolled in Medicare Practice Location: 80 Vinings Dr, Mcdonough, GA 30253 Phone: 770-302-6780 Fax: 678-782-3776 | |
Cherita Wright, MPH, RDN, LDN, CLC Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1542 E Lake Rd, Mcdonough, GA 30252 Phone: 276-708-5557 |