MEDICARE: MEGAN HUFF RD, LD

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	LD006636	GA

General Provider Information

NPI Number	:	1821854464
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN HUFF RD, LD

Provider Business Mailing Address
First Line	:	17 FALKNER DR
Second Line	:
City	:	LADERA RANCH
State	:	CA
Zip	:	92694-0924
Country	:	US
Telephone Number	:	470-305-2919
Fax Number	:

Provider Business Practice Location Address
First Line	:	788 W MARIETTA ST NW UNIT 1016
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30318-6273
Country	:	US
Telephone Number	:	470-305-2919
Fax Number	:

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

Provider Enumeration Date	:	02/22/2024
Last Update Date	:	12/19/2025

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