Provider Demographics
NPI:1548023393
Name:HAAS, GEORGIA (MS RD)
Entity type:Individual
Prefix:
First Name:GEORGIA
Middle Name:
Last Name:HAAS
Suffix:
Gender:F
Credentials:MS RD
Other - Prefix:
Other - First Name:GEORGIA
Other - Middle Name:
Other - Last Name:KING
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS RD
Mailing Address - Street 1:759 N HANLEY RD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63130-2827
Mailing Address - Country:US
Mailing Address - Phone:401-525-8878
Mailing Address - Fax:
Practice Address - Street 1:1465 S GRAND BLVD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63104-1003
Practice Address - Country:US
Practice Address - Phone:314-577-5600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered