# SOUTHERN COMFORT NUTRITION LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760058879
- **Authorized official:** SANDRA BRASSARD RD, LD, CDCES (RD, LD, CDCES)
- **Authorized official phone:** (912) 429-5898

## Contact information

- **Practice address:** 8 HIGHPOINT CT, SAVANNAH, GA 31410-1629
- **Practice address phone:** (912) 507-2636
- **Mailing address:** 8 HIGHPOINT CT, SAVANNAH, GA 31410-1629
- **Mailing address phone:** (912) 429-5898

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 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 | — | NULL | Yes |
| 133VN1201X | Obesity and Weight Management Nutrition Registered Dietitian | — | — | Yes |
| 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