MEDICARE: GET RIGHT HEALTH AND FITNESS

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	133NN1002X	Nutrition Education Nutritionist
2	171400000X	Health & Wellness Coach

General Provider Information

NPI Number	:	1013758937
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GET RIGHT HEALTH AND FITNESS

Provider Business Mailing Address
First Line	:	106 FABRISTER LN STE A
Second Line	:
City	:	LEXINGTON
State	:	SC
Zip	:	29072-1911
Country	:	US
Telephone Number	:	803-520-4003
Fax Number	:

Provider Business Practice Location Address
First Line	:	106 FABRISTER LN STE A
Second Line	:
City	:	LEXINGTON
State	:	SC
Zip	:	29072-1911
Country	:	US
Telephone Number	:	803-520-4003
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MAURICE JORDAN
Credential	:
Telephone Number	:	803-520-4003

Provider Enumeration Date	:	06/04/2024
Last Update Date	:	06/11/2024

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Directions to “GET RIGHT HEALTH AND FITNESS ” Practice Location

Language	Start Address	Practice Location

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