Individual
SANDRA G. BRASSARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD, CDE
Contact information
Practice address
8 HIGHPOINT CT, SAVANNAH, GA 31410-1629
(912) 429-5898
Mailing address
8 HIGHPOINT CT, SAVANNAH, GA 31410-1629
(912) 429-5898
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD001647
GA
163WD0400X
Diabetes Educator Registered Nurse
LD001647
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
521627205A
—
GA
Enumeration date
05/09/2007
Last updated
12/08/2021
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