Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. George Mark Coram, RD

Individual provider Registered Dietitian · NPI 1245348408

Mr. George Mark Coram, RD is a Registered Dietitian in Prescott, Arizona. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2006
What do these letters mean?
RD — Registered Dietitian
A credentialed nutrition professional.

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Practice location Address checks out

Navahcs 500 N Hwy 89
Prescott, AZ 86313
Phone: (928) 445-4860
Fax: (928) 717-7423
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Specialties & licences

Registered Dietitian (primary) Taxonomy 133V00000X · Licence 11982 (IL)

Record details

NPI number1245348408
Entity typeIndividual (Type 1)
GenderMale
Credentials RD
Sole proprietorYes
NPI enumeratedAugust 28, 2006
Last updated in NPPESJuly 8, 2007
Mailing address11850 E Arabian Ln, Dewey, AZ 86327-6001

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