NPI 1578891115 · live from the CMS NPI Registry
Sonthe Bokas Burge, MS RD LD
Dietitian, Registered in Birmingham, AL. National Provider Identifier 1578891115, active.
NPI record
| NPI | 1578891115 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 1310 Alford Ave, Suite 201, Birmingham, AL 35226 |
| Practice phone | 205-979-6822 |
| Enumerated | November 19, 2009 |
| Last updated | November 19, 2009 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 1830 (AL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.