Individual
BRENDA M BRASFIELD-JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
12699 GROVE CIR, MOUNDVILLE, AL 35474-0136
(229) 938-2815
Mailing address
243 FAIRWAY CIR, AMERICUS, GA 31709-4592
(229) 938-2815
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
5348
AL
133VN1005X
Renal Nutrition Registered Dietitian
Primary
LD003919
GA
Other
Enumeration date
01/15/2024
Last updated
01/15/2024
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