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Organization
SOUTHERN COMFORT NUTRITION LLC
Active
Organization
SOUTHERN COMFORT NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA BRASSARD RD, LD, CDCES (RD, LD, CDCES)
(912) 429-5898
Entity
Organization
Contact information
Practice address
8 HIGHPOINT CT, SAVANNAH, GA 31410-1629
(912) 507-2636
Mailing address
8 HIGHPOINT CT, SAVANNAH, GA 31410-1629
(912) 429-5898
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
—
NULL
133V00000X
Registered Dietitian
—
—
133VN1004X
Pediatric Nutrition Registered Dietitian
—
NULL
133VN1004X
Pediatric Nutrition Registered Dietitian
—
—
133VN1005X
Renal Nutrition Registered Dietitian
—
NULL
133VN1005X
Renal Nutrition Registered Dietitian
—
—
133VN1006X
Metabolic Nutrition Registered Dietitian
—
NULL
133VN1006X
Metabolic Nutrition Registered Dietitian
—
—
133VN1101X
Gerontological Nutrition Registered Dietitian
—
NULL
133VN1101X
Gerontological Nutrition Registered Dietitian
—
—
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
Primary
—
NULL
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
Primary
—
—
133VN1301X
Oncology Nutrition Registered Dietitian
—
NULL
133VN1301X
Oncology Nutrition Registered Dietitian
—
—
163WD0400X
Diabetes Educator Registered Nurse
—
NULL
163WD0400X
Diabetes Educator Registered Nurse
—
—
Other
Enumeration date
05/29/2021
Last updated
12/08/2021
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