MEDICARE: HANNAH HOLSHUE RDN

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
1	133V00000X	Registered Dietitian	LD007526	GA

General Provider Information

NPI Number	:	1811853997
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH HOLSHUE RDN

Provider Business Mailing Address
First Line	:	313 STEVEN B TANGER BLVD STE 313
Second Line	:
City	:	COMMERCE
State	:	GA
Zip	:	30529-3574
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1083 PARKWAY BLVD
Second Line	:
City	:	ATHENS
State	:	GA
Zip	:	30606-6171
Country	:	US
Telephone Number	:	706-208-6500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/01/2026
Last Update Date	:	01/01/2026

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