Jack Burton, RD
NPI #1649992355 in Fort Moore, Georgia
Provider Information
- NPI Number
- 1649992355
- Entity Type
- Individual
- Name
- Jack Burton, RD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dietitian, Registered
- Credential
- RD
- Enumeration Date
- Sep 19, 2022
- Last Updated
- Jan 14, 2025
Practice Location
- Address
- 6600 VAN AALST BLVD
- City
- Fort Moore
- State
- Georgia
- ZIP Code
- 31905-2102
- Phone
- (202) 939-2577
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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| MRS. Brooks P Ford, MS, RD, CSSD, LD | |
| Michael Vincent Polis, REGISTERED DIETITIAN |
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