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 |
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133V00000X | Dietitian, Registered | LD000961 (Georgia) | Primary |
Mailing Address | Practice Location Address |
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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 |