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Contact Information

NUTRITIONECW LLC
1755 NORTH BROWN RD
STE.200
LAWRENCEVILLE, GA30043
 Phone: 678-407-2159
 Fax: 678-288-8234
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for NUTRITIONECW LLC

NPI # 1649766874
LBN Legal business name NUTRITIONECW LLC
Authorized official EUGENIA COUCHOUD-WILKINSON - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 07/11/2018
Last updated 07/11/2018 - About 8 years ago
Identifiers
GA License # LD003876
GA Other 1316201015 NPI TYPE 1
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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