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Contact Information

J&M NUTRITIONAL CONSULTING SERVICES, LLC
4053 JIMMIE DYESS PKWY STE B
AUGUSTA, GA30909-9472
 Phone: 706-267-7479
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Preferred Provider Organization

305R00000X
Indicates primary specialty

NPI Profile & details for J&M NUTRITIONAL CONSULTING SERVICES, LLC

NPI Number 1134462328
LBN Legal business name J&M NUTRITIONAL CONSULTING SERVICES, LLC
Authorized official MARY SULLIVAN - (PRESIDENT/CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 04/05/2013
Last updated 04/05/2013 - About 13 years ago
Identifiers
GA License # LD000433
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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