Provider Demographics
NPI:1477248649
Name:SCHILLECI, VIRGINIA (MS, RD, LD)
Entity Type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:
Last Name:SCHILLECI
Suffix:
Gender:F
Credentials:MS, RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3126 BRANSFORD RD
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30909-3008
Mailing Address - Country:US
Mailing Address - Phone:205-937-7698
Mailing Address - Fax:
Practice Address - Street 1:1120 15TH ST # BT5719
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30912-0004
Practice Address - Country:US
Practice Address - Phone:706-721-5559
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-05
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
133V00000X
GA133VN1401X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1401XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Pediatric Critical Care
No133V00000XDietary & Nutritional Service ProvidersDietitian, Registered