Jill Fowler-hakes RD

NPI 1316044746 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1316044746
Gender Female
Enumeration Date 09/20/2006
Last Updated 03/11/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
1061 HARMON AVE
FORT STEWART GA, 31314-5641, US
Phone (912) 435-5049
Fax
Business Location
1061 HARMON AVE, STE 1D03
FORT STEWART GA, 31314-5674, US
Phone
Fax
Toxanomy
Taxonomy Code 133V00000X
License State Texas
License Number DT07539
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According to our database, Ms. Jill Fowler-hakes RD NPI is 1316044746, taxonomy code is 133V00000X and license number is DT07539, license state is located at Texas. Jill Fowler-hakes RD physically located at 1061 Harmon Ave, Fort Stewart GA, 31314-5641. NPI Number Jill Fowler-hakes RD has the Individual type.

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1316044746 NPI number is provided on an as is basis without warranty of any kind. 1316044746 is maintained by the National Plan & Provider Enumeration System. The contents of Jill Fowler-hakes RD are for informational purposes only.