Beverly Bray Ford, RD, LD
Dietitian, Registered, Nutrition, Renal in Augusta, GA. Individual provider (NPI-1).
NPI number1861695082
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1861695082
- Entity type
- Individual (NPI-1)
- Name
- Ms. Beverly Bray Ford
- Credential
- RD, LD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 6, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133VN1005X | Dietitian, Registered, Nutrition, Renal | LD000488 | GA | Yes |
Practice location
1511 Anthony RdAugusta, GA 30904-4821
Phone 706-731-0117
Mailing address
2425 Williams StAugusta, GA 30904-6127
Phone 706-589-1582
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