Southern Nutrition And Wellness is a
Dietitian, Registered based in Ray City, Georgia. Southern Nutrition And Wellness is licensed to practice in Georgia (license number LD004663) and their current practice location is
6073 Luke Rd, Ray City, Georgia. It can be reached at their office (for appointments etc.) via phone at
(229) 546-7585.
NPI number for Southern Nutrition And Wellness is 1356828925 and their current mailing address is 6073 Luke Rd, Ray City, Georgia. Southern Nutrition And Wellness
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1356828925.
Healthcare Provider's Profile
Full Name | Southern Nutrition And Wellness |
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Type | Facility |
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Speciality | Dietitian, Registered |
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Location | 6073 Luke Rd, Ray City, Georgia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
NPI Data:
- NPI Number: 1356828925
- Provider Enumeration Date: 07/25/2018
- Last Update Date: 07/25/2018
Medical Identifiers
Medical identifiers for Southern Nutrition And Wellness such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1356828925 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | LD004663 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Southern Nutrition And Wellness is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Southern Nutrition And Wellness 6073 Luke Rd, Ray City, GA 31645-2119 Ph: (229) 546-7585 | Southern Nutrition And Wellness 6073 Luke Rd, Ray City, GA 31645-2119 Ph: (229) 546-7585 |
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