Bonnie Dee Whitfield, MSRDLD
Dietitian, Registered in Douglas, GA. Individual provider (NPI-1).
NPI number1164049615
StatusActive
Last updated in NPPESJul 1, 2020
Details
- NPI
- 1164049615
- Entity type
- Individual (NPI-1)
- Name
- Bonnie Dee Whitfield
- Credential
- MSRDLD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 1, 2020
- Certification date
- Jul 1, 2020
- Last updated
- Jul 1, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | LD000259 | GA | Yes |
Practice location
1865 Bear Creek RdDouglas, GA 31535-4680
Phone 912-381-0304
Mailing address
Po Box 205Douglas, GA 31534-0205
Phone 912-381-0304
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