Jennifer Lawrence Baugh, RDN
Individual provider Active NPI Registered Dietitian · Avondale Estates, GA
NPI 1902476484 · NPPES record last updated Jul 13, 2021
Key facts
- NPI
- 1902476484
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- Practice address
- 276 Third Ave
Avondale Estates, GA 30002-1128 - Phone
- (678) 699-3208
- NPI assigned
- Jun 28, 2021
- 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)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Yes |
Addresses
Primary practice location
276 Third Ave
Avondale Estates, GA 30002-1128
Mailing address
1799 Clairmont Rd
Decatur, GA 30033-4005
Phone (678) 568-4717
Other providers in Avondale Estates, GA
- Across All Ages
- Meredith Lisa Albert
- Isabel Atkinson
- Avondale Pharmacy LLC
- Amanda Brantley Batlle
- Becoming a Better Me Counseling
- Bee Good Wellness and Consulting Services
- Jalpa Birdi
- Brooke Maclean Blum
- Karen Britain
All providers in Avondale Estates, 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 Jul 13, 2021. 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.