MEDICARE: MEGHAN POLLNER 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
1	133V00000X	Registered Dietitian	APP-000281157	OH

General Provider Information

NPI Number	:	1174179618
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGHAN POLLNER RD

Provider Business Mailing Address
First Line	:	2780 AIRPORT DR STE 100
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43219-2289
Country	:	US
Telephone Number	:	614-859-1906
Fax Number	:	614-645-5517

Provider Business Practice Location Address
First Line	:	3781 SOUTH HIGH STREET
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43260-4011
Country	:	US
Telephone Number	:	614-645-3163
Fax Number	:	614-645-5517

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

Provider Enumeration Date	:	08/12/2019
Last Update Date	:	08/12/2019

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Directions to “ MEGHAN POLLNER RD” Practice Location

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