Nutritionmagic, Inc.

NPI #1639492879 in Jasper, Georgia

Provider Information

NPI Number
1639492879
Entity Type
Organization
Organization Name
Nutritionmagic, Inc.
Primary Specialty
Dietitian, Registered
Enumeration Date
Mar 2, 2010
Last Updated
Mar 2, 2010

Practice Location

Address
4054 SOARING HAWK CIRCLE
Address 2
11563 BIG CANOE
City
Jasper
State
Georgia
ZIP Code
30143-5115
Phone
(706) 579-1992

Authorized Official

Name
MRS. ANN C. LAFONTAINE, MA,RD,LD
Title
PRESIDENT
Phone
(706) 579-1992

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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