MRS. AMANDA JO REDDEN


Address: 22 Camden Cir, Newnan, GA 30265-5551
Phone: 4044225151

MRS. AMANDA JO REDDEN (NPI# 1457440786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457440786
Entity Type Individual
Full Name MRS. AMANDA JO REDDEN
Credential M.S., R.D., L.D.
Practice Address 22 Camden Cir
Newnan
GA 30265-5551
Practice Telephone 4044225151
Practice Fax Number 7709498406
Mailing Telephone 4044225151
Mailing Fax Number 7709498406
Enumeration Date 2006-10-12
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133VN1005X Dietitian, Registered
Specialization: Nutrition, Renal
LD003002 GA Dietary & Nutritional Service Providers

Office Location

Street Address 22 CAMDEN CIR
City NEWNAN
State GA
Zip Code 30265-5551

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Taxonomy Information

Taxonomy Code 133VN1005X
Grouping Dietary & Nutritional Service Providers
Classification Dietitian, Registered
Specialization Nutrition, Renal

Taxonomy Definition

Definition to come...

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1053979690 Vanessa Lynn Hunt Dietitian, Registered 4276 Courtside Dr, Stone Mountain, GA 30083-1292 2019-05-30
1164838173 Sally Butler Stieghan Dietitian, Registered 222 14th St Ne Apt 213, Atlanta, GA 30309-7681 2014-07-10
1265718928 Practical Wellness LLC Dietitian, Registered 889 Stallings Ave Se, Atlanta, GA 30316-2209 2011-10-26
1073793766 Christy Leigh Roberts Dietitian, Registered 190 Calhoun Rd, Griffin, GA 30224-7829 2007-11-09
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1487873352 Cynthia Goudeau Dietitian, Registered 1830 Niskey Cove Rd Sw, Atlanta, GA 30331-6339 2007-04-25
1316057862 Mary Etta James Gresham Dietitian, Registered 5330 Cayuga Ct, Lithonia, GA 30038-1106 2006-08-30
1376579656 Melissa Ann Krentzman Dietitian, Registered 1685 Barfield Run Nw, Atlanta, GA 30318-2778 2006-06-25
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Competitor

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City NEWNAN
Zip Code 30265

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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