| NPI | 1578201950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRIS ABIGIAL MCDUFFIE Registered Dietitian Nutritionist 706-627-5864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133VN1005X Dietitian, Registered, Nutrition, Renal |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-05-25 |
| Last Update Date | 2022-05-25 |