Most Relevant Information
Provider Data
| NPI Number: | 1003836131 |
| Provider Name: | JEANNIE DORR |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | LDN00556 |
Most Important Dates
| Enumeration Date: | 07/20/2006 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
593 EDDY ST
GEORGE CLINIC
PROVIDENCE
RI
029034923
Practice Location Phone/Fax
| Phone: | 4014443201 |
| Fax: | 4014446115 |
Provider Mailing Location
593 EDDY ST
GEORGE CLINIC
PROVIDENCE
RI
029034923
Provider Mailing Phone/Fax
| Phone: | 4014443201 |
| Fax: | 4014446115 |