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NPI Code Detail

MEDICARE: NANCY J. GEORGE RD

MEDICARE: NANCY J. GEORGE RD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered DietitianLD2891OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1548227614
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY J. GEORGE RD
Provider Business Mailing Address
First Line : 700 ACKERMAN RD STE 570
Second Line :
City : COLUMBUS
State : OH
Zip : 43202-1579
Country : US
Telephone Number : 614-293-3230
Fax Number :
Provider Business Practice Location Address
First Line : 181 TAYLOR AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43203-1779
Country : US
Telephone Number : 614-293-3230
Fax Number : 614-293-4030
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2006
Last Update Date : 03/05/2019

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