Patricia A Sullens, MEDICAL ASSIT
Individual provider Active NPI Nutrition Education Nutritionist · Baldwin, GA
NPI 1154536613 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1154536613
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nutrition Education Nutritionist 133NN1002X
- Practice address
- 441 Professional Complex
Suite 479D
Baldwin, GA 30511 - Phone
- (706) 778-0033
- NPI assigned
- May 10, 2007
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | Yes |
Addresses
Primary practice location
441 Professional Complex
Suite 479D
Baldwin, GA 30511
Mailing address
441 Professional Complex
Suite 479D
Baldwin, GA 30511
Phone (706) 778-0033
Other providers in Baldwin, GA
- Carl Douglas Little Jr.
- Nomora Corp
- Marina Petrenko
- Premise Health of Georgia Medical PC
- Tina Carita Smith
- Brooke Terilli
- The Oaks - Scenic View Assisted Living LLC
- The Oaks - Scenic View Skilled Nursing, LLC
- Frank M Trotter
- United Rehab Inc
All providers in Baldwin, GA · Nutrition Education Nutritionist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.