NPI 1700339207 · live from the CMS NPI Registry
Alexia Beauregard
Dietitian, Registered in Fort Stewart, GA. National Provider Identifier 1700339207, active.
NPI record
| NPI | 1700339207 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 1061 Harmon Ave, Fort Stewart, GA 31314 |
| Practice phone | 912-435-6965 |
| Enumerated | August 1, 2016 |
| Last updated | September 25, 2018 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.