Individual provider · Type 1 NPI

Daniel Ticona, RDN

Registered Dietitian · Fort Gordon, GA

NPI number 1639001050 Active

Practice location

300 E Hospital Rd
Fort Gordon, GA 30905

Mailing address

1094 Maple Ridge Ct
Evans, GA 30809-5248

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000X2019029807 (MO)

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 1639001050

Daniel Ticona, RDN's National Provider Identifier is 1639001050, issued on Jun 1, 2026. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Fort Gordon, GA. The record was last updated on Jun 1, 2026.