MEDICARE: DESIRAE SUGGS-HEBERT MS,RD,LD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	133VN1501X	Sports Dietetics Nutrition Registered Dietitian
2	133V00000X	Registered Dietitian
3	133VN1101X	Gerontological Nutrition Registered Dietitian
4	133VN1201X	Obesity and Weight Management Nutrition Registered Dietitian

General Provider Information

NPI Number	:	1275283160
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DESIRAE SUGGS-HEBERT MS,RD,LD

Provider Business Mailing Address
First Line	:	1796 ALEXANDER DR
Second Line	:
City	:	DECATUR
State	:	GA
Zip	:	30032-3201
Country	:	US
Telephone Number	:	912-224-1449
Fax Number	:

Provider Business Practice Location Address
First Line	:	1796 ALEXANDER DR
Second Line	:
City	:	DECATUR
State	:	GA
Zip	:	30032-3201
Country	:	US
Telephone Number	:	912-224-1449
Fax Number	:

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

Provider Enumeration Date	:	03/24/2022
Last Update Date	:	02/18/2026

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