| NPI | 1760875330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH TANKERSLEY Clinical Dietitian 706-721-2389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: GA LD004343) |
| Enumeration Date | 2015-03-06 |
| Last Update Date | 2015-03-06 |