Provider Demographics
NPI:1548390453
Name:BOYER, FELICIA SALUK (RD, LDN, CDE)
Entity Type:Individual
Prefix:MS
First Name:FELICIA
Middle Name:SALUK
Last Name:BOYER
Suffix:
Gender:F
Credentials:RD, LDN, CDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1804 SUNSHINE LN
Mailing Address - Street 2:
Mailing Address - City:SIGNAL MOUNTAIN
Mailing Address - State:TN
Mailing Address - Zip Code:37377-2130
Mailing Address - Country:US
Mailing Address - Phone:423-315-3882
Mailing Address - Fax:
Practice Address - Street 1:615 DERBY ST
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37404-1632
Practice Address - Country:US
Practice Address - Phone:423-629-1451
Practice Address - Fax:423-493-2965
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2014-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLDN0000000778133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered