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Contact Information

MARY H BOHANNON, RD LDN
4001 NEWBERRY RD
SUITE C IV
GAINESVILLE, FL32607
 Phone: 352-374-4449
 Fax: 352-374-4464
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for MARY H BOHANNON · (Female)

NPI Number 1518187749
Status Active
Credentials RD LDN
Entity Individual
Enumeration date 04/30/2007
Last updated 07/20/2011 - About 15 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # ND00000297
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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