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NPI Code Detail

MEDICARE: SARA STEERE RD

MEDICARE: SARA STEERE 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 DietitianLD005572GA

General Provider Information

NPI Number : 1205553567
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA STEERE RD
Provider Business Mailing Address
First Line : PO BOX 13289
Second Line :
City : DURHAM
State : NC
Zip : 27709-3289
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 41 PERIMETER CTR E STE 640
Second Line :
City : DUNWOODY
State : GA
Zip : 30346-1903
Country : US
Telephone Number : 770-871-3730
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2022
Last Update Date : 10/26/2022

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Directions to “ SARA STEERE RD” Practice Location

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