Body for Life, LLC

NPI #1922326982 in Eatonton, Georgia

Provider Information

NPI Number
1922326982
Entity Type
Organization
Organization Name
Body for Life, LLC
Primary Specialty
Dietitian, Registered
Enumeration Date
May 13, 2010
Last Updated
May 13, 2010

Practice Location

Address
136 E RIVER BEND DR
State
Georgia
ZIP Code
31024-5353
Phone
(678) 773-1853

Authorized Official

Name
MRS. STACY ANN PAINE, RD, LD
Title
OWNER
Phone
(678) 773-1853

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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