| NPI | 1225220866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY FORD Owner 706-589-1582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133VN1005X Dietitian, Registered, Nutrition, Renal (Licence: GA 000488) |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2007-08-17 |