Organization · Type 2 NPI

Kidney Nutrition Specialist LLC

Registered Dietitian · Newnan, GA

NPI number 1316564909 Active

Practice location

1425 Highway 34 E
Newnan, GA 30265-1323

Call (470) 205-0119 Map

Fax (770) 580-1880

Mailing address

213 Highland Hills Rd
Fayetteville, GA 30214-5429

Other practice locations

  • 213 Highland Hills Rd, Fayetteville, GA 30214-5429 · (470) 205-0119
  • 130 Governors Sq Ste C, Peachtree City, GA 30269-4862 · (470) 205-0119

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000XNone listed
Renal Nutrition Registered Dietitian 133VN1005XNone listed

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…

8 other providers at this address

About NPI 1316564909

Kidney Nutrition Specialist LLC's National Provider Identifier is 1316564909, issued on Jun 29, 2020. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Newnan, GA. The record was last updated on Jul 8, 2026.