Provider Demographics
NPI:1922230580
Name:WEEKS, SHERON (RD,LD)
Entity Type:Individual
Prefix:MRS
First Name:SHERON
Middle Name:
Last Name:WEEKS
Suffix:
Gender:F
Credentials:RD,LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4700 WATERS AVE
Mailing Address - Street 2:FOOD & NUTRITION SERVICES
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31403-3089
Mailing Address - Country:US
Mailing Address - Phone:912-350-9064
Mailing Address - Fax:912-350-9557
Practice Address - Street 1:4700 WATERS AVE
Practice Address - Street 2:FOOD & NUTRITION SERVICES
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31403-3089
Practice Address - Country:US
Practice Address - Phone:912-350-9064
Practice Address - Fax:912-350-9557
Is Sole Proprietor?:No
Enumeration Date:2009-08-17
Last Update Date:2009-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALD003381133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered