Provider Demographics
NPI:1982646204
Name:HOPE, SCHELLA (MS,RD,LD)
Entity Type:Individual
Prefix:
First Name:SCHELLA
Middle Name:
Last Name:HOPE
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:PO BOX 1913
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:GA
Mailing Address - Zip Code:31521-1913
Mailing Address - Country:US
Mailing Address - Phone:912-262-9966
Mailing Address - Fax:912-262-9976
Practice Address - Street 1:1628 UNION ST
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:GA
Practice Address - Zip Code:31520-6733
Practice Address - Country:US
Practice Address - Phone:912-262-9966
Practice Address - Fax:912-262-9976
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2008-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALD002400133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered