Active NPIIndividual provider

Georgia Clark-Albert, MS RD LD CDE

Dietitian, Registered in Bangor, Maine

NPI Number1740510759
Practice location
900 Broadway, Bldg 1, Bangor, ME 04401-1900
Fax
207-907-1189
Last updated
July 28, 2010

Georgia Clark-Albert is a Dietitian, Registered based in Bangor, ME. Georgia Clark-Albert practices in Bangor, ME and has the professional credentials of MS RD LD CDE. The NPI Number for Georgia Clark-Albert is 1740510759 and holds a License No. DI426 (ME). The current practice location address for Georgia Clark-Albert is 900 Broadway, Bldg 1, Bangor, ME 04401-1900 and can be reached out via phone at 207-907-1187 and via fax at 207-907-1189.

Provider Profile Details

NPI Number
1740510759
Provider Name
Georgia Clark-Albert
Credential
MS RD LD CDE
Provider Entity Type
Individual
Gender
Female
Address
900 Broadway, Bldg 1, Bangor, ME 04401-1900
Phone Number
207-907-1187
Fax Number
207-907-1189
Primary Taxonomy
Dietitian, Registered · 133V00000X
Sole Proprietor
No
Provider Enumeration Date
January 14, 2010
Last Update Date
July 28, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
900 Broadway
Bldg 1
Bangor, ME 04401-1900
City
Bangor
State
Maine
Zip
04401-1900
Phone Number
207-907-1187
Fax Number
207-907-1189
Bangor, ME 04401Get directions →

Provider Business Mailing Address Details

Address
Po Box 934
Bangor, ME 04402-0934
City
Bangor
State
ME
Zip
04402-0934
Phone Number
207-907-1187
Fax Number
207-907-1189

License Information

License Number
DI426
License State
ME
Taxonomy
Dietitian, Registered · 133V00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Georgia Clark-Albert, MS RD LD CDE?

The NPI number of Georgia Clark-Albert, MS RD LD CDE is 1740510759. It was assigned on January 14, 2010 and is currently active in the NPPES registry.

What is the specialty of Georgia Clark-Albert, MS RD LD CDE?

Georgia Clark-Albert, MS RD LD CDE is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in ME under license number DI426.

Where does Georgia Clark-Albert, MS RD LD CDE practice?

The practice location is 900 Broadway, Bldg 1, Bangor, ME 04401-1900. The office can be reached at 207-907-1187 (phone) or 207-907-1189 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1740510759 directly on the NPPES registry website.

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