Provider Demographics
NPI:1750852398
Name:ZECHARIAH, SUNITHA (MS RD LD CNSC FAND)
Entity Type:Individual
Prefix:MRS
First Name:SUNITHA
Middle Name:
Last Name:ZECHARIAH
Suffix:
Gender:F
Credentials:MS RD LD CNSC FAND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1143 HUNTERS CV
Mailing Address - Street 2:
Mailing Address - City:EVANS
Mailing Address - State:GA
Mailing Address - Zip Code:30809-6905
Mailing Address - Country:US
Mailing Address - Phone:706-372-4917
Mailing Address - Fax:
Practice Address - Street 1:1143 HUNTERS CV
Practice Address - Street 2:
Practice Address - City:EVANS
Practice Address - State:GA
Practice Address - Zip Code:30809-6905
Practice Address - Country:US
Practice Address - Phone:706-372-4917
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-07
Last Update Date:2018-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALD002911133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered