| NPI | 1558862045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY JOYCE NICHOLOS Owner, Member 678-386-4809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: GA 86077822) |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2018-02-21 |