Individual provider · NPI-1

Felecia Mathews, MS RD CDE

Dietitian, Registered, Nutrition, Metabolic · Columbus, GA

NPI number1235482985
StatusActive
Last updated in NPPESOct 18, 2012

Details

NPI
1235482985
Entity type
Individual (NPI-1)
Name
Ms. Felecia Mathews
Credential
MS RD CDE
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 18, 2012
Last updated
Oct 18, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133VN1006X Dietitian, Registered, Nutrition, MetabolicLD000107GAYes
163WD0400X Registered Nurse, Diabetes Educator09520320GA

Practice location

1905 7th Ave
Columbus, GA 31901-1563

Phone 706-507-7067 · Fax 706-507-7068

Mailing address

5823 Wiltshire Dr
Columbus, GA 31909-4747

Phone 706-718-5421 · Fax 706-322-7334

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