Individual
GEORGIANNA BROADWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LD
Contact information
Practice address
315 EISENHOWER DR, SAVANNAH, GA 31406-2605
(912) 355-9220
(912) 234-7789
Mailing address
210 E DERENNE AVE, SAVANNAH, GA 31405-6736
(912) 644-5300
(912) 644-5260
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD003146
GA
Other
Enumeration date
07/14/2011
Last updated
07/14/2011
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