Organization · Type 2 NPI

Nutrisource Nutritional Services, Inc.

Registered Dietitian · St. Simons Island, GA

NPI number 1932486966 Active

Practice location

504 Beachview Dr, Suite 2A
St. Simons Island, GA 31522-4740

Fax (912) 434-7018

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…

Another provider at this address

About NPI 1932486966

Nutrisource Nutritional Services, Inc.'s National Provider Identifier is 1932486966, issued on Nov 4, 2011. The primary taxonomy on file is Registered Dietitian (133V00000X), and the practice location is in St. Simons Island, GA. The record was last updated on Nov 4, 2011.