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Anzor Modzgvreschvili, RD
Gerontological Nutrition Registered Dietitian in Detroit, Michigan
NPI 1245866862

Anzor Modzgvreschvili is a Gerontological Nutrition Registered Dietitian based in Middle River, MI and is specialized in Nutrition, Gerontological. Anzor Modzgvreschvili practices in Detroit, MI and has the professional credentials of RD. The NPI Number for Anzor Modzgvreschvili is 1245866862 and holds a License No. (Michigan).

The current practice location address for Anzor Modzgvreschvili is 15750 Joy Rd, Detroit, MI and can be reached out via phone at 313-273-6850. You can also correspond with Anzor Modzgvreschvili through the mailing address at 6201 GREENLEIGH AVE, MIDDLE RIVER, MD - 21220-2004 (mailing address contact number: ).

Location: 15750 Joy Rd, Detroit, MI, 21220-2004
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245866862
Provider Name
Anzor Modzgvreschvili
Credential
RD
Provider Entity Type
Individual
Gender
Male
Address
15750 Joy Rd, Detroit, MI, 21220-2004
Phone Number
313-273-6850
Fax Number
Provider Enumeration Date
03/15/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
15750 Joy Rd
City
Detroit
State
Michigan
Zip
48228-2196
Phone Number
313-273-6850
Fax Number
person
Provider Business Mailing Address Details
Address
6201 Greenleigh Ave
City
Middle River
State
Maryland
Zip
21220-2004
Phone Number
Fax Number
person
Provider's Taxonomy Details 1
Type
Dietary & Nutritional Service Providers
Classification
Dietitian, Registered
Speciality
Nutrition, Gerontological
Taxonomy
133VN1101X
License No.
()
Definition
An individual who is a Specialist in Gerontological Nutrition and provides nutrition care to promote quality of life and optimal health for older adults across the continuum of care, including: acute care, post-acute care, primary care, long-term care, assisted living, home care, palliative care, community-based nutrition, food service, correctional facilities, and government programs. RDN who works indirectly with gerontological nutrition through roles in management, industry, education, and research.
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