| Ms Chanda Tracy, RD | |
|
2400 Lee Hwy N, Pulaski, VA 24301-2326 | |
| (540) 994-8593 | |
| Not Available |
| Full Name | Ms Chanda Tracy |
|---|---|
| Gender | Female |
| Speciality | Dietitian, Registered |
| Location | 2400 Lee Hwy N, Pulaski, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386851293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
| Provider Name | Nutrition In The Know Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1699452227 PECOS PAC ID: 2365894680 Enrollment ID: O20240122004101 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Chanda Tracy, RD 5285 Buena Vista Rd, Pulaski, VA 24301-7149 Ph: (540) 980-8204 | Ms Chanda Tracy, RD 2400 Lee Hwy N, Pulaski, VA 24301-2326 Ph: (540) 994-8593 |
Anita Marie Osburn, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2400 Lee Hwy N, Pulaski, VA 24301 Phone: 540-994-8561 Fax: 540-994-8243 | |
Mrs. Loree D Clauss, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2400 Lee Highway, Pulaski, VA 24301 Phone: 540-994-8593 Fax: 540-994-8243 | |
Mrs. Virginia Marie Fox, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2400 Lee Hwy N, Pulaski, VA 24301 Phone: 540-994-8593 Fax: 540-994-8243 |