Daniel Ticona, RDN
Dietitian, Registered in Fort Gordon, GA. Individual provider (NPI-1).
NPI number1639001050
StatusActive
Last updated in NPPESJun 1, 2026
Details
- NPI
- 1639001050
- Entity type
- Individual (NPI-1)
- Name
- Daniel Ticona
- Credential
- RDN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 1, 2026
- Certification date
- May 20, 2026
- Last updated
- Jun 1, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 2019029807 | MO | Yes |
Practice location
300 E Hospital RdFort Gordon, GA 30905
Phone 706-787-5811
Mailing address
1094 Maple Ridge CtEvans, GA 30809-5248
Phone 636-614-5251
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Other Registered Dietitian providers in Fort Gordon, GA
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All 9 Registered Dietitian providers in Fort Gordon · All 561 providers in Fort Gordon
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