Healthcare Provider Details
I. General information
NPI: 1528366341
Provider Name (Legal Business Name): GLOBAL HEALTH AND NUTRITION CONSULTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/02/2011
Last Update Date: 03/02/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
80 TRILLIUM TER
COVINGTON GA
30016-7335
US
IV. Provider business mailing address
80 TRILLIUM TER
COVINGTON GA
30016-7335
US
V. Phone/Fax
- Phone: 443-992-1041
- Fax:
- Phone: 443-992-1041
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 133V00000X |
| Taxonomy | Registered Dietitian |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
HERLINE
A
KNIGHTS
Title or Position: OWNER
Credential: RD
Phone: 443-992-1041