Professional Health Control OD Augusta Inc.

Primary specialty

NutritionistTaxonomy code 133N00000X

Legal business name

PROFESSIONAL HEALTH CONTROL OD AUGUSTA INC.

Practice address

246 Bobby Jones Expy Ste B
Martinez, GA 30907-5360

Phone

(706) 869-0173

Fax

(706) 869-1716

NPI assigned

Jun 21, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Donna R Plants

Title

Director

Phone

(706) 869-0173

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841496528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 BOBBY JONES EXPY STE B",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309075360",
            "telephone_number": "706-869-0173",
            "fax_number": "706-869-1716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 BOBBY JONES EXPY STE B",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309075360",
            "telephone_number": "706-869-0173",
            "fax_number": "706-869-1716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL HEALTH CONTROL OD AUGUSTA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PLANTS",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "706-869-0173"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nutritionist in Martinez, GA
• Providers in Martinez, GA by specialty
• Nutritionist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.