| Nutritionmagic, Inc. | |
|
4054 Soaring Hawk Circle, 11563 Big Canoe, Jasper, GA 30143-5115 | |
| (706) 579-1992 | |
| (866) 900-4295 |
| Full Name | Nutritionmagic, Inc. |
|---|---|
| Type | Facility |
| Speciality | Dietitian, Registered |
| Location | 4054 Soaring Hawk Circle, Jasper, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639492879 | NPI | - | NPPES |
| 1669570917 | Other | GA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 133V00000X | Dietitian, Registered | LD000961 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Nutritionmagic, Inc. 4054 Soaring Hawk Circle, 11563 Big Canoe, Jasper, GA 30143-5115 Ph: (706) 579-1992 | Nutritionmagic, Inc. 4054 Soaring Hawk Circle, 11563 Big Canoe, Jasper, GA 30143-5115 Ph: (706) 579-1992 |
Kristen Hackey, RD/N, LD, CSR, FNKF Dietitian Medicare: Not Enrolled in Medicare Practice Location: 67 Hood Park Dr, Jasper, GA 30143 Phone: 770-378-2730 | |
Mrs. Jenna Lee Prince-farmer, R.D. , L.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 758 Upper Grandview Rd, Jasper, GA 30143 Phone: 770-893-7115 |