Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. MARY LAUREN WHITESIDE, R.D, C.S.P, L.D.
ActivePediatric Nutrition · SAVANNAH, GA
Registration Details
- NPI Number
- 1538332663
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 9, 2008 (18.035533604944 yrs)
- Last Updated
- Sep 27, 2012
- Licenses
-
160 (SC)003750 (GA)
Practice Information
- Address
-
4700 WATERS AVEFOOD & NUTRITION SERVICESSAVANNAH, GA, 314046220Browse GA providers · Browse ZIP 31404
- Phone
- 9123509473
- Fax
- 8433509557
- Primary Specialty
-
Pediatric Nutrition
133VN1004X
- Additional Specialty
- Pediatric Nutrition
Other Pediatric Nutrition Providers in SAVANNAH, GA
| Name | Credential | NPI |
|---|---|---|
| MRS. DANIELLE KELLEY WEBB | RD, CSP, LD | 1497977565 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.