Individual provider · Type 1 NPI

Mary Louise Slullivan, R.D., LD, MA

Registered Dietitian · Augusta, GA

NPI number 1932329646 Active

Practice location

2361 Tobacco Rd
Augusta, GA 30906-9220

Fax (706) 790-4372

Mailing address

3522 Hilltop Dr
Augusta, GA 30906-5732

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian Primary 133V00000XLD000433 (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 1932329646

Mary Louise Slullivan, R.D., LD, MA's National Provider Identifier is 1932329646, issued on Apr 26, 2007. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in Augusta, GA. The record was last updated on Jul 8, 2007.