OrganizationActive
Nutrition 411 Beverly Ford Rd Ld LLC
NPI 1225220866 · Renal Nutrition Registered Dietitian · Augusta, GA
Provider details
- NPI number
- 1225220866
- Entity type
- Organization
- Primary specialty
- Renal Nutrition Registered DietitianDietary & Nutritional Service Providers
- Organization subpart
- No
- Authorized official
- Beverly Ford, Owner(706) 589-1582
- License
- 000488 (GA)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
2425 Williams St
Augusta, GA 30904-6127
Phone: (706) 589-1582
Approximate (ZIP-level) locationGet directions
Mailing address
2425 Williams St
Augusta, GA 30904-6127
Registry dates
- Enumerated
- 2007-08-17
- Last updated
- 2007-08-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.