Organization · Type 2 NPI

Nutrisource Nutritional Services

Registered Dietitian · Brunswick, GA

NPI number 1285869974 Active

Practice location

3226 Hampton Ave Ste F
Brunswick, GA 31520-4252

Fax (912) 264-4071

Mailing address

620 Sea Island Rd, Pmb 273
St. Simons Island, GA 31522-1767

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000XLD002579 (GA)

Registered Dietitian: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the…

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About NPI 1285869974

Nutrisource Nutritional Services's National Provider Identifier is 1285869974, issued on May 25, 2009. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Brunswick, GA. The record was last updated on May 25, 2009.