Individual provider · Type 1 NPI

Rebecca Fordham Black, RD

Registered Dietitian · Metter, GA

NPI number 1053221424 Active

Practice location

200 Sycamore St
Metter, GA 30439-9833

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000X649971 (GA)

Registered Dietitian: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…

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About NPI 1053221424

Rebecca Fordham Black, RD's National Provider Identifier is 1053221424, issued on Sep 9, 2026. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Metter, GA. The record was last updated on Sep 9, 2026.