Angelica B Davis, M.ED., RDN, LD
Individual provider Active NPI Registered Dietitian · Adairsville, GA
NPI 1093596124 · NPPES record last updated Oct 13, 2023
Key facts
- NPI
- 1093596124
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- LD005579 (GA)
- Practice address
- 18 Carson CT
Adairsville, GA 30103-3053 - Phone
- (334) 412-6534
- NPI assigned
- Oct 13, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD005579 | GA | MD | Registered Dietitian |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LD005579 | GA | Yes |
Addresses
Primary practice location
18 Carson CT
Adairsville, GA 30103-3053
Mailing address
18 Carson CT
Adairsville, GA 30103-3053
Phone (334) 412-6534
Other providers in Adairsville, GA
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- Joyce Coomer
- Molly Van Wert Cooper
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- Julia Danforth
- Ashleigh Kay Dean
- Downing Clark Center, Inc.
- Education Playstation, Inc.
- Jennifer Gordon Elzey
- Hilary Epps
All providers in Adairsville, GA · Registered Dietitian in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.