MEDICARE: DR. CLAIRE MARIE MOUSER PHD, 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	86468398	GA

General Provider Information

NPI Number	:	1912846023
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CLAIRE MARIE MOUSER PHD, RD

Provider Business Mailing Address
First Line	:	1659 MONROE DR NE APT A2
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30324-5060
Country	:	US
Telephone Number	:	317-252-3606
Fax Number	:

Provider Business Practice Location Address
First Line	:	1659 MONROE DR NE APT A2
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30324-5060
Country	:	US
Telephone Number	:	317-252-3606
Fax Number	:

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

Provider Enumeration Date	:	03/25/2026
Last Update Date	:	03/25/2026

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