Organization Name: | NUTRITIONMAGIC, INC. |
NPI Number: | 1639492879 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANN C. LAFONTAINE (PRESIDENT) |
Mailing Address: | 4054 Soaring Hawk Circle 11563 Big Canoe Jasper |
State: | GA US |
Postal Code: | 301435115 |
Phone Number: | 7065791992 |
Fax Number: | 8669004295 |
NPI Enumeration Date: | 03/02/2010 |
NPI Last Update Date: | 03/02/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | LD000961 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |