J&m Nutritional Consulting Services, LLC

NPI #1134462328 in Augusta, Georgia

Provider Information

NPI Number
1134462328
Entity Type
Organization
Organization Name
J&m Nutritional Consulting Services, LLC
Primary Specialty
Preferred Provider Organization
Enumeration Date
Apr 5, 2013
Last Updated
Apr 5, 2013

Practice Location

Address
4053 JIMMIE DYESS PKWY STE B
State
Georgia
ZIP Code
30909-9472
Phone
(706) 267-7479

Authorized Official

Name
MARY L. SULLIVAN, R.D, LDN
Title
PRESIDENT/CEO
Phone
(706) 267-7479

Specialties & Taxonomy Codes

Specialty
Preferred Provider Organization

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