Provider Demographics
NPI:1053187476
Name:BIRD, FRANCES MEREDITH (RD, MSN)
Entity type:Individual
Prefix:
First Name:FRANCES
Middle Name:MEREDITH
Last Name:BIRD
Suffix:
Gender:F
Credentials:RD, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7609 PERIDOT LN
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31406-6438
Mailing Address - Country:US
Mailing Address - Phone:865-206-1837
Mailing Address - Fax:
Practice Address - Street 1:330 BENFIELD DR
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-2604
Practice Address - Country:US
Practice Address - Phone:912-303-3552
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-27
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALD006551133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered