MEDICARE: BRITTANY NICOLE FINLEY RD, LD, CSO

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	LD004608	GA

General Provider Information

NPI Number	:	1871001180
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY NICOLE FINLEY RD, LD, CSO

Provider Business Mailing Address
First Line	:	300 E HOSPITAL RD
Second Line	:
City	:	FORT EISENHOWE
State	:	GA
Zip	:	30905
Country	:	US
Telephone Number	:	706-761-8107
Fax Number	:

Provider Business Practice Location Address
First Line	:	300 E. HOSPITAL RD
Second Line	:
City	:	FT EISENHOWER
State	:	GA
Zip	:	30905-0000
Country	:	US
Telephone Number	:	706-787-8217
Fax Number	:

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

Provider Enumeration Date	:	01/21/2018
Last Update Date	:	01/30/2025

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